Мультимодальна періопераційна аналгезія кесарева розтину
DOI:
https://doi.org/10.15574/HW.2019.141.49Ключові слова:
доказова медицина, кесарів розтин, післяопераційне знеболювання, мультимодальна аналгезія, ТАР-блокАнотація
Проблема післяопераційного болю залишається однією з актуальних в сучасній хірургії, зокрема в акушерській практиці. Найоптимальнішим сучасним методом післяопераційного знеболювання є мультимодальна аналгезія, яка дозволяє зменшити застосування опіоїдів. У статті наведено огляд сучасної медичної літератури щодо методів періопераційного знеболювання, у тому числі мультимодальної аналгезії кесарева розтину, і висвітлення даної інформації з позицій доказової медицини. Наведені також попередні власні дані щодо переваг використання мультимодальної аналгезії у породіль у післяопераційний період.
Посилання
Kehlet H, Dahl JB. 1993. The value of «multimodal» or «balanced analgesia» in postoperative pain treatment. Anesth Analg. 77 (5):1048–1056. https://doi.org/10.1213/00000539-199311000-00030; PMid:8105724
Apfelbaum JL, Chen C, Mehta SS et al. 2003. Postoperative pain experience: Results from a national survey suggest postoperative pain continues to be undermanaged. Anesth. Analg. 97;2:534–540. https://doi.org/10.1213/01.ANE.0000068822.10113.9E; PMid:12873949
Gan TJ, Habib AS, Miller TE, et al. 2014. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med. Res. Opin. 30;1: 149–160. https://doi.org/10.1185/03007995.2013.860019; PMid:24237004
Eremenko AA, Sorokina LS. 2014. Posleoperatsionnoe obezbolivanie s ispolzovaniem nefopama i ketoprofena u kardiohirurgicheskih bolnyih. Regionarnaya anesteziya i lechenie ostroy boli. VIII; 3: 26–32.
Dolin SJ, Cashman JN, Bland JM. 2002. Effectiveness of acute postoperative pain management: I. Evidence from published data. Br. J. Anaesth. 89:409–423. https://doi.org/10.1093/bja/89.3.409; PMid:12402719
Kehlet H, Jensen T, Woolf C. 2006. Persistent postsurgical pain: risk factors and prevention. Lancet. 367;9522:1618–1625. https://doi.org/10.1016/S0140-6736(06)68700-X
Postpartum pain management. ACOG Committee Opinion 742. American College of Obstetricians and Gynecologists. Obstet. Gynecol. 132 (1):e35-e43. 2018. https://doi.org/10.1097/AOG.0000000000002683; PMCid:PMC6019196
Funk RD, Hilliard P, Ramachandran SK. 2014. Perioperative opioid usage: avoiding adverse effects. Plast Reconstr Surg. 134 (4;2):32S-39S. https://doi.org/10.1097/PRS.0000000000000680; PMid:25255004
Lee M, Silverman SM, Hansen HA. 2011. Сomprehensive review of opioid-induced hyperalgesia. Pain Physician. 14;2:145–161.
Hillman DR, Platt PR, Eastwood PR. 2010. Anesthesia, sleep, and upper airway collapsibility. Anesthesiol Clin. 28 (3):443–455. https://doi.org/10.1016/j.anclin.2010.07.003; PMid:20850076
Robertson JA, Purple RJ, Cole P et al. 2016. Sleep disturbance in patients taking opioid medication for chronic back pain. Anaesthesia 71 (11):1296–1307. https://doi.org/10.1111/anae.13601; PMid:27545291 PMCid:PMC5082544
Gerbershagen HJ, Aduckathil S, van Wijck AJ et al. 2013. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology 118 (4):934–944. https://doi.org/10.1097/ALN.0b013e31828866b3; PMid:23392233
Barr J, Fraser GL, Puntillo K et al. 2013. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 41 (1):263–306. https://doi.org/10.1097/CCM.0b013e3182783b72; PMid:23269131
Chou R, Gordon DB, de Leon-Casasola OA et al. 2016. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J. Pain. 17;2:131–157. https://doi.org/10.1016/j.jpain.2015.12.008; PMid:26827847
Ljungqvist O, Hubner M. 2018. Ljungqvist O. Enhanced recovery after surgery–ERAS–principles, practice and feasibility in the elderly. Aging Clin Exp. Res. 30 (3):249–252. https://doi.org/10.1007/s40520-018-0905-1; PMid:29453605 PMCid:PMC5856872
Chou R, Gordon DB, de Leon-Casasola OA. 2016. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 17 (2): 131–157. https://doi.org/10.1016/j.jpain.2015.12.008; PMid:26827847
Apfelbaum JL, Chen C, Mehta SS, Gan TJ. 2003. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 97 (2):534–540. https://doi.org/10.1213/01.ANE.0000068822.10113.9E; PMid:12873949
Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology 116 (2): 248–273. 2012. https://doi.org/10.1097/ALN.0b013e31823c1030; PMid:22227789
Kehlet H, Jensen TS, Woolf CJ. 2006. Persistent postsurgical pain: risk factors and prevention. Lancet. 367 (9522):1618–1625. https://doi.org/10.1016/S0140-6736(06)68700-X
Chou D, Abalos E, Gyte GM et al. 2010. Paracetamol/acetaminophen (single administration) for perineal pain in the early postpartum period. Cochrane Database Syst Rev. 3: CD008407. https://doi.org/10.1002/14651858.CD008407
Wuytack F, Smith V, Cleary BJ. 2016. Oral non-steroidal anti-inflammatory drugs (single dose) for perineal pain in the early postpartum period. Cochrane Database Syst Rev. 7:CD011352. https://doi.org/10.1002/14651858.CD011352.pub2; PMid:27412362 PMCid:PMC6461153
Khan MI, Walsh D, Brito-Dellan N. 2011. Opioid and adjuvant analgesics: compared and contrasted. Am J Hosp Palliat Care 28 (5):378–383. https://doi.org/10.1177/1049909111410298; PMid:21622486
Laska EM, Sunshine A, Marrero I et al. 1986. The correlation between blood levels of ibuprofen and clinical analgesic response. Clin Pharmacol Ther. 40 (1):1–7. https://doi.org/10.1038/clpt.1986.129; PMid:3522030
Sostres C, Gargallo CJ, Arroyo MT et al. 2010. Adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs, aspirin and coxibs) on upper gastrointestinal tract. Best Pract Res Clin Gastroenterol. 24 (2):121–132. https://doi.org/10.1016/j.bpg.2009.11.005; PMid:20227026
Viteri OA, England JA, Alrais MA et al. 2017. Association of Nonsteroidal Antiinflammatory Drugs and Postpartum Hypertension in Women With Preeclampsia With Severe Features. Obstet Gynecol. 130 (4):830–835. https://doi.org/10.1097/AOG.0000000000002247; PMid:28885417
Valentine AR, Carvalho B, Lazo TA. 2015. Scheduled acetaminophen with as-needed opioids compared to as-needed acetaminophen plus opioids for post-cesarean pain management. Int J Obstet Anesth. 24 (3): 210–216. https://doi.org/10.1016/j.ijoa.2015.03.006; PMid:25936786
Collins SL, Edwards JE, Moore RA et al. 2000. Single dose dextropropoxyphene, alone and with paracetamol (acetaminophen), for postoperative pain. Cochrane Database Syst Rev. 2:CD001440.
Hendrickson RG, McKeown NJ. 2012. Is maternal opioid use hazardous to breast-fed infants? Clin Toxicol (Phila) 50 (1):1–14. https://doi.org/10.3109/15563650.2011.635147; PMid:22148986
Ben-David B, DeMeo PJ, Lucyk C et al. 2002. Minidose lidocaine-fentanyl spinal anesthesia in ambulatory surgery: prophylactic nalbuphine versus nalbuphine plus droperidol. Anesth Analg. 95 (6):1596–600. https://doi.org/10.1097/00000539-200212000-00023; PMid:12456423
Towers CV, Shelton S, van Nes J. 2018. Preoperative cesarean delivery intravenous acetaminophen treatment for postoperative pain control: a randomized double-blinded placebo control trial. Am J Obstet Gynecol. 218 (3):e1-353. https://doi.org/10.1016/j.ajog.2017.12.203; PMid:29274831
Deseva B, Muĭkova N, Vitanova M et al. 1993. Nalbuphine hydrochloride (Nubain) for postoperative analgesia. Khirurgiia (Sofiia) 46 (1):20–22.
Sutton CD, Carvalho B. 2017. Optimal pain management after cesarean delivery. Anesthesiol Clin. 35;1:107–124. https://doi.org/10.1016/j.anclin.2016.09.010; PMid:28131114
Charlton S, Cyna AM, Middleton P et al. 2010. Perioperative transversus abdominis plane (TAP) blocks for analgesia after abdominal surgery. Cochrane Database Syst Rev. 12:CD007705. https://doi.org/10.1002/14651858.CD007705.pub2; PMid:21154380
Nordeng H, Havnen GC, Spigset O. 2012. Drug use and breastfeeding. Tidsskr Nor Laegeforen. 132 (9): 1089–1093. https://doi.org/10.4045/tidsskr.11.1104; PMid:22614307
Sachs HC, Committee On Drugs. 2013. The transfer of drugs and therapeutics into human breast milk: an update on selected topics. Pediatrics 132 (3): e796-809. https://doi.org/10.1542/peds.2013-1985; PMid:23979084
Rigourd V, de Villepin B, Amirouche A et al. 2014. Ibuprofen concentrations in human mature milk-first data about pharmacokinetics study in breast milk with AOR-10127 «Antalait» study. Ther Drug Monit. 36 (5):590–596. https://doi.org/10.1097/FTD.0000000000000058; PMid:24695355
Wischnik A, Manth SM, Lloyd J et al. 1989. The excretion of ketorolac tromethamine into breast milk after multiple oral dosing. Eur J Clin Pharmacol. 36 (5):521–524. https://doi.org/10.1007/BF00558080; PMid:2787750
Spigset O, Hägg S. 2000. Analgesics and breast-feeding: safety considerations. Paediatr Drugs 2 (3):223–538. https://doi.org/10.2165/00128072-200002030-00006; PMid:10937472
##submission.downloads##
Опубліковано
Номер
Розділ
Ліцензія
Авторське право (c) 2019 Здоров’я жінки
Ця робота ліцензується відповідно до Creative Commons Attribution-NonCommercial 4.0 International License.
