The use of opioid adjuvants in perioperative multimodal analgesia.

作者: Katarzyna Kotfis , Maciej Zukowski

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摘要: Postoperative analgesia plays a crucial role in day-case surgery. Patients expect effective pain relief after surgery, without side effects, and this may not always be possible when more complicated procedures are performed ambulatory settings. Moreover, both surgeons patients anaesthesiologists to provide an treatment service especially even private practice The protocols based on intravenous opioids or central neuraxial blockade no longer appropriate, short, uncomplicated postoperative course is anticipated. Multimodal analgesia, combining different groups of analgesics, opioid non-opioid, with mechanisms action, targets peripheral nervous systems minimal effects answer. In review, we present discuss the current status knowledge, special reference adjuvants acute pain.

参考文章(34)
Tijani Issioui, Kevin W. Klein, Paul F. White, Mehernoor F. Watcha, Margarita Coloma, Gary D. Skrivanek, Stephanie B. Jones, Kevin C. Thornton, Bradley F. Marple, The efficacy of premedication with celecoxib and acetaminophen in preventing pain after otolaryngologic surgery. Anesthesia & Analgesia. ,vol. 94, pp. 1188- 1193 ,(2002) , 10.1097/00000539-200205000-00025
P. Steffen, I. Schuhmacher, T. Weichel, M. Georgieff, W. Seeling, Untersuchungen zum differenzierten Einsatz von Nichtopioiden zur postoperativen Analgesie I - Quantifizierung des analgetischen Effektes von Metamizol mittels der patientenkontrollierten Analgesie Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie. ,vol. 31, pp. 143- 147 ,(1996) , 10.1055/S-2007-995890
Thue Bisgaard, Birthe Klarskov, Henrik Kehlet, Jacob Rosenberg, Preoperative dexamethasone improves surgical outcome after laparoscopic cholecystectomy: a randomized double-blind placebo-controlled trial. Annals of Surgery. ,vol. 238, pp. 651- 660 ,(2003) , 10.1097/01.SLA.0000094390.82352.CB
Gerhard Brodner, Wiebke Gogarten, Hugo Van Aken, Klaus Hahnenkamp, Carola Wempe, Hendrik Freise, Irmgard Cosanne, Markus Huppertz-Thyssen, Björn Ellger, Efficacy of intravenous paracetamol compared to dipyrone and parecoxib for postoperative pain management after minor-to-intermediate surgery: a randomised, double-blind trial European Journal of Anaesthesiology. ,vol. 28, pp. 125- 132 ,(2011) , 10.1097/EJA.0B013E32833FEDFA
Martin Schiavenato, Kenneth D. Craig, Pain Assessment as a Social Transaction The Clinical Journal of Pain. ,vol. 26, pp. 1- 676 ,(2010) , 10.1097/AJP.0B013E3181E72507
Sandra Kampe, Mathias Warm, Susanne Landwehr, Oguzhan Dagtekin, Sascha Haussmann, Matthias Paul, Barbara Pilgram, Peter Kiencke, Clinical equivalence of IV paracetamol compared to IV dipyrone for postoperative analgesia after surgery for breast cancer. Current Medical Research and Opinion. ,vol. 22, pp. 1949- 1954 ,(2006) , 10.1185/030079906X132659
Margarita Coloma, Larry L. Duffy, Paul F. White, W. Kendall Tongier, Philip J. Huber, Dexamethasone facilitates discharge after outpatient anorectal surgery Anesthesia & Analgesia. ,vol. 92, pp. 85- 88 ,(2001) , 10.1097/00000539-200101000-00017
M.Z. Michel, M.K. Sanders, Effectiveness of acute postoperative pain management BJA: British Journal of Anaesthesia. ,vol. 91, pp. 448- 449 ,(2003) , 10.1093/BJA/AEG601
Edouard J. Trabulsi, Jitesh Patel, Eugene R. Viscusi, Leonard G. Gomella, Costas D. Lallas, Preemptive Multimodal Pain Regimen Reduces Opioid Analgesia for Patients Undergoing Robotic-assisted Laparoscopic Radical Prostatectomy Urology. ,vol. 76, pp. 1122- 1124 ,(2010) , 10.1016/J.UROLOGY.2010.03.052