The use of centrally acting analgesics in the postoperative analgesia in patients with the consequences of a severe mine-explosive injury of the lower extremities
In this article, the authors discuss the place of modern analgesics of central action (nefopam hydrochloride) in the analgesia of patients with explosive injuries of the lower extremities. Currently, there is no information in global practice regarding the use of centrally acting analgesics for ana...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Interdisciplinary Academy of Pain Medicine
2023-01-01
|
| Series: | Perioperative Medicine |
| Subjects: | |
| Online Access: | https://perioperative.org.ua/index.php/prtmdc/article/view/108 |
| _version_ | 1797862504917893120 |
|---|---|
| author | Maksym Shostak Oleksii Domoratskyi |
| author_facet | Maksym Shostak Oleksii Domoratskyi |
| author_sort | Maksym Shostak |
| collection | DOAJ |
| description |
In this article, the authors discuss the place of modern analgesics of central action (nefopam hydrochloride) in the analgesia of patients with explosive injuries of the lower extremities. Currently, there is no information in global practice regarding the use of centrally acting analgesics for analgesia in patients with combat trauma. An example was the analgesia of patients in the p/o period with a severe explosive injury of the lower extremities. Attention is drawn to the need for effective analgesia for patients with a combo injury not only in the acute period. A feature of the treatment of such patients is the need for major restorative and reconstructive surgical interventions, which in turn are accompanied by a pronounced pain syndrome. In our experience, the addition of non-narcotic analgesics of central action (nefopam hydrochloride) to the scheme of multimodal analgesia is appropriate to improve analgesia in this category of patients. The addition of nefopam hydrochloride to a multimodal analgesia regimen at 20 mg IV every 6 hours was effective in the treatment of severe acute postoperative pain.
|
| first_indexed | 2024-04-09T22:20:30Z |
| format | Article |
| id | doaj.art-5269c347b93e4da7b80e0ccf06acf118 |
| institution | Directory Open Access Journal |
| issn | 2616-339X 2617-2925 |
| language | Russian |
| last_indexed | 2024-04-09T22:20:30Z |
| publishDate | 2023-01-01 |
| publisher | Interdisciplinary Academy of Pain Medicine |
| record_format | Article |
| series | Perioperative Medicine |
| spelling | doaj.art-5269c347b93e4da7b80e0ccf06acf1182023-03-22T15:53:19ZrusInterdisciplinary Academy of Pain MedicinePerioperative Medicine2616-339X2617-29252023-01-015210.31636/prmd.v5i2.4The use of centrally acting analgesics in the postoperative analgesia in patients with the consequences of a severe mine-explosive injury of the lower extremitiesMaksym Shostak0Oleksii Domoratskyi1KNP "Kyiv City Clinical Hospital No. 6"National University of Health Care of Ukraine named after P. L. Shupyka In this article, the authors discuss the place of modern analgesics of central action (nefopam hydrochloride) in the analgesia of patients with explosive injuries of the lower extremities. Currently, there is no information in global practice regarding the use of centrally acting analgesics for analgesia in patients with combat trauma. An example was the analgesia of patients in the p/o period with a severe explosive injury of the lower extremities. Attention is drawn to the need for effective analgesia for patients with a combo injury not only in the acute period. A feature of the treatment of such patients is the need for major restorative and reconstructive surgical interventions, which in turn are accompanied by a pronounced pain syndrome. In our experience, the addition of non-narcotic analgesics of central action (nefopam hydrochloride) to the scheme of multimodal analgesia is appropriate to improve analgesia in this category of patients. The addition of nefopam hydrochloride to a multimodal analgesia regimen at 20 mg IV every 6 hours was effective in the treatment of severe acute postoperative pain. https://perioperative.org.ua/index.php/prtmdc/article/view/108Blast injurymultimodal analgesianefopam |
| spellingShingle | Maksym Shostak Oleksii Domoratskyi The use of centrally acting analgesics in the postoperative analgesia in patients with the consequences of a severe mine-explosive injury of the lower extremities Perioperative Medicine Blast injury multimodal analgesia nefopam |
| title | The use of centrally acting analgesics in the postoperative analgesia in patients with the consequences of a severe mine-explosive injury of the lower extremities |
| title_full | The use of centrally acting analgesics in the postoperative analgesia in patients with the consequences of a severe mine-explosive injury of the lower extremities |
| title_fullStr | The use of centrally acting analgesics in the postoperative analgesia in patients with the consequences of a severe mine-explosive injury of the lower extremities |
| title_full_unstemmed | The use of centrally acting analgesics in the postoperative analgesia in patients with the consequences of a severe mine-explosive injury of the lower extremities |
| title_short | The use of centrally acting analgesics in the postoperative analgesia in patients with the consequences of a severe mine-explosive injury of the lower extremities |
| title_sort | use of centrally acting analgesics in the postoperative analgesia in patients with the consequences of a severe mine explosive injury of the lower extremities |
| topic | Blast injury multimodal analgesia nefopam |
| url | https://perioperative.org.ua/index.php/prtmdc/article/view/108 |
| work_keys_str_mv | AT maksymshostak theuseofcentrallyactinganalgesicsinthepostoperativeanalgesiainpatientswiththeconsequencesofaseveremineexplosiveinjuryofthelowerextremities AT oleksiidomoratskyi theuseofcentrallyactinganalgesicsinthepostoperativeanalgesiainpatientswiththeconsequencesofaseveremineexplosiveinjuryofthelowerextremities AT maksymshostak useofcentrallyactinganalgesicsinthepostoperativeanalgesiainpatientswiththeconsequencesofaseveremineexplosiveinjuryofthelowerextremities AT oleksiidomoratskyi useofcentrallyactinganalgesicsinthepostoperativeanalgesiainpatientswiththeconsequencesofaseveremineexplosiveinjuryofthelowerextremities |