PROACTIVE MULTIMODAL ANALGESIA BY USING KETONAL AND MORPHINE IN THORACIC SURGERY
Abstract
On the basis of clinical analysis of 78 surgical observations, the authors prove the necessity of multimodal approach to postoperative analgesia provided for the blockade of painful conduction at all levels – from peripheral to central ones. They evaluated the efficacy of analgesia by ketonal combined with epidural introduction of morphine and showed a high effectiveness of the combined use of the medications under a minimum of complications and side effects.
About the Authors
A. M. DolgunovRussian Federation
Vladivostok
V. B. Shumatov
Russian Federation
Vladivostok
A. A. Polezhaev
Russian Federation
Vladivostok
N. V. Silin
Russian Federation
Vladivostok
References
1. Калюжный Л.В. Физиологические механизмы регуляции болевой чувствительности. – М. : Медицина, 1983.
2. Лиманский Ю.П. Физиология боли. – Киев: Здоровье, 1986.
3. Михайлович В.А. Болевой синдром. – М.: Медицина, 1990.
4. Морган Д.Э. Клиническая анестезиология. – М.: Бином, 2000.
5. Ферранте Ф.М. Послеоперационная боль. – М.: Медицина, 1998.
6. Cousins M.J., Mather L.E.// Anesthesiology. – 1984. – Vol. 61, No. 3. – P. 276-310.
7. Cousins M.J., Siddall P.J// Neural blokade in clinical Anesthesia and management of pain. – Philadelphia NewYork, 1998. – P. 675-713.
Review
For citations:
Dolgunov A.M., Shumatov V.B., Polezhaev A.A., Silin N.V. PROACTIVE MULTIMODAL ANALGESIA BY USING KETONAL AND MORPHINE IN THORACIC SURGERY. Pacific Medical Journal. 2003;(3):59-61. (In Russ.)