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Postoperative analgesia. Guidelines

Aleksey M. OvechkinFSAEI of HE “I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation” (Sechenov University), Moscow, RussiaA. Zh. BayalievaFSBEI of HE “Kazan State Medical University”, Ministry of Healthcare of Russian Federation, Kazan, RussiaAnna A. EzhevskayaFSBEI of HE “Privolzhsky Research Medical University” of the Ministry of Healthcare of the Russian Federation, Nizhnij Novgorod, RussiaА А ЕременкоFSBSI “National Research Center of Surgery n.a. Petrovsky B.P.», Moscow, RussiaD. V. ZabolotskijFSBEI of HE “St. Petersburg State Pediatric Medical University” of the Ministry of Healthcare of the Russian Federation, St. Petersburg, RussiaИ. Б. ЗаболотскихFSBEI of HE “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation, Krasnodar, RussiaA.E. KarelovFSBEI HE “North-Western State Medical University n.a. I.I. Mechnikov” of the Ministry of Healthcare of the Russian Federation, St. Petersburg, RussiaV. A. KoryachkinFSBEI of HE “St. Petersburg State Pediatric Medical University” of the Ministry of Healthcare of the Russian Federation, St. Petersburg, RussiaArina P. SpasovaFSBEI of HE “Petrozavodsk State University”, Petrozavodsk, RussiaВ. Э. Хороненко“Moscow Oncology Research Center n.a. P.A. Hertsen” — branch of FSBI NMRRC of the Ministry of Healthcare of the Russian Federation, Moscow, RussiaD. N. UvarovFSBEI of HE “Northern State Medical University” of the Ministry of Healthcare of the Russian Federation, Arhangelsk, RussiaG. E. UlrikhFSBEI of HE “St. Petersburg State Pediatric Medical University” of the Ministry of Healthcare of the Russian Federation, St. Petersburg, RussiaР. В. ШадринSBIHC “Childrenʼs Regional Clinical Hospital” of the Ministry of Healthcare of Kuban State of the Russian Federation, Krasnodar, Russia
2019en
ABI

Аннотация

This article described the main theses of clinical guidelines of the Russian Federation of Anesthesiologists and Reanimatologists on postoperative pain management. The classification, etiology and pathogenesis of postoperative pain, the basic principles and algorithms for diagnosing pain, and the regional and systemic pharmacotherapy of pain in various fields of surgery are consistently presented. Multimodal analgesia is described in detail as a key concept of a current approach to the treatment of postoperative pain. All presented information is based on evidence-based medical data obtained by Russian and foreign researchers.

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