Yuriy Viktorovich Sukhanov

Posleoperatsionnaya Bol' U Detey: Ot Teorii K Praktike Yuriy Viktorovich Sukhanov Russian edition

Bol' yavlyaetsya sub"ektivnym oshchushcheniem patsienta, izvestnym tol'ko emu odnomu. Lechenie boli ? odin iz osnovnykh komponentov terapii posleoperatsionnogo perioda. Nekupirovannaya bol' privodit k respiratornym i gemodinamicheskim narusheniyam, a tak zhe mozhet sposobstvovat' formirovaniyu u rebenka psikhologicheskikh problem. Otsenka urovnya boli yavlyaetsya klyuchevym momentom opredeleniya neobkhodimosti optimizatsii anal'gezii. Zavisimost' patsienta ot obsluzhivayushchego personala privodit k zamedleniyu prinyatiya resheniya v naznachenii ocherednoy dozy anal'getika. Metodika anal'gezii, kontroliruemoy patsientom, sushchestvenno uskoryaet protsess dostavki anal'getika, povyshaet kachestvo anal'gezii i komfort patsienta. V zavisimosti ot istochnika boli, vozmozhno provedenie kak vnutrivennoy, tak i epidural'noy patsient-kontroliruemoy anal'gezii. Mul'timodal'nyy podkhod podrazumevaet sochetannoe primenenie anal'getikov raznykh farmakologicheskikh grupp (opioidy, mestnye anestetiki, NPVS, paratsetamol), chto sushchestvenno povyshaet kachestvo obezbolivaniya i umen'shaet chastotu pobochnykh effektov preparatov. Tselevaya auditoriyu chitateley: studenty meditsinskikh VUZov; spetsialisty intensivnoy terapii v pediatrii.