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POSTOPERATIVE PAIN


Authors: P. Ševčík;  I. Křikava
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny LF MU a FN Brno
Published in: Urol List 2007; 5(2): 5-13

Overview

Postoperative pain is a typical example of acute pain both from the pathophysiological and therapeutic point of view. Its intensity, quality and duration depend on a number of factors associated with the surgery as such, as well as pre-surgical preparation and, in the first place, post-operative care. Quality post-operative analgesia demonstrably reduces both post-operative morbidity and the length of hospitalisation. Post-operative pain can be alleviated by systemic and regional procedures. Non-opioid analgesics (especially paracetamol and metamizol, or non-steroidal analgesics - antiphlogistics), opioids and combinations of analgesics of both the groups are used. Preparations from other drug groups can also be used. Analgesics can be administered per os, per rectum, intravenously, subcutaneously; local anaesthetics (or opioids) can be applied regionally - to the area of nervous structures or the spinal channel. Currently, we have a wide range of analgesic preparations and procedures. Of greatest importance, today, is the control of post-operative pain management in particular health centres.

Key words:
opioids, non-opioid analgesics, non-steroidal analgesics - antiphlogistics, patient-controlled analgesia, post-operative analgesia


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