• Postoperative analgesia in obstetric and gynecological clinic: emphasis on nonsteroidal antiinflammatory drugs
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Postoperative analgesia in obstetric and gynecological clinic: emphasis on nonsteroidal antiinflammatory drugs

HEALTH OF WOMAN. 2016.5(111):33–36


Postoperative analgesia in obstetric and gynecological clinic: emphasis on nonsteroidal antiinflammatory drugs


Nazarenko L. G., Nastenko A. M.

Kharkiv medical Academy of postgraduate education MOH of Ukraine

Kharkov city clinical maternity hospital № 6


In recent years greatly increased interest in the problem of post-operative pain, its pathophysiological aspect, methods for preventing its effects. This issue is currently very relevant for obstetric and gynecological clinic, since the frequency of surgical interventions in the delivery methods and for the treatment of gynecological patients increases. The advent of modern effective methods of analgesia, understanding the role of adequate pain relief in postoperative rehabilitation of patients motivated to search for new and improvement of the known variants of postoperative analgesia. The article presents current information about the theoretical basis of post-operative pain, a place of non-steroidal anti-inflammatory drugs in its overcome, and also analyzed its own three-year practical experience in the application of multimodal analgesia to include combinations of different forms of diclofenac sodium, which is an invitation to interested colleagues to exchange views on this issue.


Key words: pain, postoperative, analgesia, multimodal, non-steroidal anti-inflammatory drugs


REFERENCES

1. Ready LB, Edwards WT. 1992. Management of acute pain: a practical guide. IASP Publications:Seattle:73.

2. Amy M, Pick AM, DeSimone EM. 2010. The Management of Acute Postoperative Pain; US Pharm; 35(5):HS-2-HS-7.

3. McCormack K, Brune K. 1991. Dissociation between the antinociceptive and antiinflammatory effects of the non-steroidal antinfammatory drugs; Drugs 41:533-547. http://dx.doi.org/10.2165/00003495-199141040-00003; PMid:1711958

4. Macintyre PE, Schug SA, Scott DA, Visser EJ, Walker SM Acute Pain Management: Scientific Evidence (3rd edition) Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine (2010), ANZCA & FPM, Melbourne. http://www.anzca.edu.au/resources/books-and-publications/

5. Rummans Т. 1994. Nonopioids agents for treatment of acute and subacute pain; Mayo Clinic Proceed 69:481-490. http://dx.doi.org/10.1016/S0025-6196(12)61648-6

6. Ong CK, Seymour RA, Lirk P, Merry AF. 2010. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain;Anesth. Analg 110:1170. http://dx.doi.org/10.1213/ane.0b013e3181cf9281

7. Kobeljatskij JJ. 2010. NSAIDs for postoperative analgesia: the efficacy and safety from the perspective of evidence-based medicine. Health of Ukraine 3;26-27. (in Russian).