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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. Dolgunov
Primorsky Regional Oncologic Dispensary; Vladivostok State Medical University; Municipal Clinical Hospital No. 2
Russian Federation
Vladivostok


V. B. Shumatov
Primorsky Regional Oncologic Dispensary; Vladivostok State Medical University; Municipal Clinical Hospital No. 2
Russian Federation
Vladivostok


A. A. Polezhaev
Primorsky Regional Oncologic Dispensary; Vladivostok State Medical University; Municipal Clinical Hospital No. 2
Russian Federation
Vladivostok


N. V. Silin
Primorsky Regional Oncologic Dispensary; Vladivostok State Medical University; Municipal Clinical Hospital No. 2
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.)

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ISSN 1609-1175 (Print)