Effect of premedication on the formation of postoperative pain syndrome

• Published in: Anesteziologiia i reanimatologiia no. 4; p. 3
• Main Authors: Polushin, Iu S, Gritsaĭ, A N, Pereloma, V I, Shirokov, D M
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01.07.2003
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic - administration & dosage; Analgesics, Non-Narcotic - therapeutic use; Analgesics, Opioid - administration & dosage; Analgesics, Opioid - therapeutic use; Anti-Inflammatory Agents, Non-Steroidal - administration & dosage; Anti-Inflammatory Agents, Non-Steroidal - therapeutic use; Child; Drug Administration Schedule; Humans; Middle Aged; Pain Measurement; Pain, Postoperative - drug therapy; Pain, Postoperative - prevention & control; Premedication - methods
• ISSN: 0201-7563

The pronouncement degree and dynamics of pain syndrome were assessed after surgeries in the abdominal cavity organs with regard for a nature of the analgetic component of premedication and of the postoperative analgesic therapy (n = 155). The administration of analgesics before extra-traumatic surgeries was found to be compulsory in order to prevent the onset of a persistent postoperative pain syndrome. A combination of non-steroid anti-inflammatory drugs, i.e. ketonal, and of a high-efficiency agonist of opiate mu-receptors, i.e. bupranal, was acknowledged as most effective in coping with this task. It was demonstrated that the application of "the forestalling analgesia" by ketonal (100 mg in 30 min before the beginning of moderate- and mild-trauma surgical interventions and immediately after the finalization of such surgeries) contributed to an essentially lower pronouncement degree of the postoperative pain syndrome and made the administration of narcotic analgesics unnecessary. Finally, it is pointed out that promedol could not be regarded as a drug ensuring a safe prophylaxis of the central sensitization and hyperalgesia.