YAPAROV, R.M. and ALBAKOVA, A.E. and RYBACHEK, O. (2013) POSTLAPAROSKOPIC PAIN TREATMENT. Научно-практический журнал “Вестник КазНМУ” (3). ISSN 9965-01-300-4
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Abstract
Postanesthesia recovery - one of the priority issues of modern anesthesiology. This problem is particularly relevant in connection with the development of hospitals 'day surgery'. The modern concept of postanesthesia recovery requires effective control of postoperative pain, chills, nausea and vomiting syndrome. General anesthesia with controlled ventilation is the method of choice for all endovideosurgical interventions. Modern techniques of general anesthesia with the use of "managed" hypnotics, inhalation anesthetics, opioids and muscle relaxants can quickly activate patients regain the ability to receive food and water by natural means, write them out of the hospital for 1-2 postoperative days. Although pain after laparoscopic surgery are less intense and faster regress than after traditional interventions, they are regarded as a kind of "postlaparoskopichesky pain." The maximum level of pain observed immediately after surgery and can reach 60 points on a 100-point visual analog scale. Typically, the pain is localized in the zone of the trocars, upper abdomen, shoulder joints, and more to the right is not correlated with the area of surgical intervention. Reduction of the intensity of the "postlaparoskopicheskogo pain" is achieved by aspiration of residual gas from the abdominal cavity at the end of the operation, the use of opioids, nonsteroidal anti-inflammatory drugs, irrigation of the abdominal cavity of the local anesthetic solution. In practice physician affordable and effective way to treat postlaparoskopicheskogo pain in the early postoperative period is the use of NSAIDs (lornoxicam). The aim of the study was a comparative evaluation of the effectiveness of pain relief in the early postanesthesia period after laparoscopic surgery.
| Item Type: | Article |
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| Uncontrolled Keywords: | postlaparoskopic pain, NSAIDs, early postoperative period, COX-3 |
| Subjects: | R Medicine > RM Therapeutics. Pharmacology |
| Divisions: | Научно-практический журнал "Вестник КазНМУ" > Выпуск №2 2013 год |
| Depositing User: | Mr Press KazNMU |
| Date Deposited: | 25 Jun 2013 05:04 |
| Last Modified: | 25 Jun 2013 05:04 |
| URI: | http://repository.kaznmu.kz/id/eprint/6830 |
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