Control of perioperative pain (Adapted clinical guidance, based on evidence)

SUMMARY

??????????????????? ?????? ????? ???????.?????? ????????? ???? ???????? ????????? ? ??????????? ??? ??????? ??????? ??????’? ??????? ??????? ????????? ????????? Acute Pain Management: Scientific Evidence. – 3-?? ???????, 2010. ?????? ????????? ???? ????????? ?????????? ? ????? ????????????? ??????:? Good Practice in Postoperativeand Procedural Pain Management. – 2nd ?dition, 2012;? PROSPECT: evidence-based, procedure-specific postoperative pain management, 2015;? Postoperative pain management – Good Clinical Practice. General recommendations and principles for successful pain management. Produced in consultation with the European Society of Regional Anaesthesia and Pain Therapy.???? ?????????, ?? ????? ?????????? ????????? ????????? ???????? ? 2010–2016 ??., ?? ?????? ????????????? ????????? (2010–2016) ?? ???? ???????????? ????? ?????, ????????? ??? ????????? ????????????. ????? ? Acute Pain Management: Scientific Evidence. – 4-?? ???????, 2015, ??? ?????????? ????????? ?? ????????. ???? ???????? ????????? ???????????? ?????????? ?? ???????????? ??????? ???? ?????? ??????? ?????????? ? ???????????????? ??????? ? ????????? ???????????? ???????. ?????????? ??? ??? ???????????? ??? ????????? ??????????? ???????? ???????, ??? ???? ??????? ???? ???????????? ??????????? ????? – ??????????? ???????? ?? ???? ? ?????????? ??????????. ????????????? ???????????? ????????? ????????? ????????? ? ??????? ????? ?? ????????? ???????? ???? ? ??????? ?????? ??????, ?? ?????????? ? ????????????? ?????????? (2010). ???????? ??????? ? ????????? ???????? (11,3–40 %) ???????? ?? ????????? ???????? ?????????. ? 70 % ?????? ?? ??? ???? ? ???????? ????????? (???????? ????, ?????????? ???????? ?????????, ??? ???????, 2012). ???? ??????????? ?????????? ????????? ?????? ?????? ????? ????????? ?? ????????????, ??? ? ?????????????? ???????. ???????????? ????????????????? ?????????? ??????????? ? ????? 51–56 % (Apfelbaum J. et al., 2003). ??????????? ?????????????? ?????????? ???? ?????????? ?????? ????????? ???????????????? ?????????? ? ???? ???????- ???????? ??????? (??????????? ???????????, ???????, ?????? ?????? ????????), ??????? ??????? (???????? ???????? ??????? ??????, ?????????, ???????? ?????????, ????????), ????????-????????? ?????? (?????? ?????????, ???????????? ???????? ?????), ??????????? ???????? ??????? (?????????? ?????????? ????????? ????????, ????????????), ??????? ????????? ????? (???????????????, ???????? ???????? ???, ????????????? ????????? ???????), ???????? (Wu C. L., Raja S. N. et al., 2011). ???????????????? ???? ?? ???????? ??????? ???????????????? ?????????? ??????? ?? ?????? ????? ???????? ????????????? ????? ???????????? ?????????, ???????? ??????? ?????? ??????????, ? ???????? ?????? ???????? ?????????? ?????????????? ????????? ???????? (Hanna M. H., 2006). ?????? ? ?????? Reddi ?? Curran (2014), ????? ???????? ?????????? ????????????????? ???? ????? ??????????? ????????? 20– 50 %, ????????? ???????? – 50–85 %, ????????????????? ???????? – 30–55 %, ????????? ????? – 5–35 %, ??????????????? – 5–50 %, ??????????? – 5–65 %. ?????, ??? ?????? ??????? ?????????? ?????????? ????????? ???????? ??????????????? ??? ????? ? ?????????????? (???????????????) ??????????? ??????????. ????????, ?? ???????? ?????? ???????? ???? ????????, ????????? ???? ???????? ?? ????????? ??????????? ??????????. ?????????????? ?????????? ? ??????????? ????????? ?? ??? ?????? ????????, ??? ? ??? ????? ??????? ???????? ????????, ? ???? ????? ? ???????, ?? ???????? ?????????? ????????????? ?????????? ?? ????????????????? ????. ????????? ??????????????? ?????????? ??? ?? ???? ?? ?????? ???????????? ????, ??? ? ???????? ??????? ?? ?????????? ????????, ?? ???’????? ? ????? ????? ?? ??????? ???????????? ???????? ? ??????????? ?????????? ??????????????. ?? ????????, ?? ???????? ??????????? ????????????????? ??????????, ????????: ????????? ??????????? ???????? ??? ???????? ????????????????? ??????????, ???????? ????????? ? ???????? ?????? ?? ????????? ????, ????????? ???????? ?????????, ???????????? ????????????? ?????????, ????????? ?????? ?? ????????? ????, ? ???? ????? – ? ????????????? ??????????? ???????????? ??????, ???????? ??????? ? ????????? ???? ?????????, ????? ?? ???? ? ???? ???????? ????. ??????? ?????????? ? ?????? ?????????? ???????????? ??????? ????????? ??? ??????????? ???????? ???????????????? ????. ??? ???????? ?????????? ???????? ???? ???????? ???????? ????????? ???????????????? ????, ? ???? ????? ? ?????????? ??????????? ? ???? ???????, ?? ????????? ????????? ???????????? ?????????? ??? ??????????? ??????????.