Evolution of approaches in treatment of acute pain syndrome (review)

Abstract

In recent years, the treatment of acute pain syndrome has been considered as an independent direction in anesthesiology and intensive care. New schemes of postoperative analgesia and new drugs developed by pharmacologists are actively being introduced. One of the newer regimens for pain relief is patient-controlled analgesia (CPA) or on-demand analgesia. The development of the concept of fast track surgery, one of the most widely discussed areas for the development of innovative technologies in modern surgery, from the point of view of the anesthesiologist of the resuscitation specialist, minimizes the stress response of the body to surgical aggression at all stages of the perioperative period. Increasingly, the method of preemptive analgesia is used more widely, based on the use of analgesics before the start of the operation, which helps to prevent the occurrence of peripheral and central sensitization.

Intervention of WeChat Group Guidance in Rapid Rehabilitation after Gynecological Laparoscopic Surgery

“…Its core is to follow the evidence of evidence-based medicine, break the traditional concept, and optimize the clinical treatment and nursing mode during the whole operation period without increasing the readmission rate and reoperation rate [ 8 , 9 ]. By reducing the traumatic stress response caused by surgery to the human body, this reduces a series of complications that may occur during the whole operation period and finally achieves the purpose of shortening the hospital stay, saving the cost of medical resources, and accelerating the postoperative rehabilitation of patients [ 10 ]. After more than 20 years of development, popularization, and application, ERAS concept is more and more widely used in many surgical fields.…”