Abstract

ROJAS-PENALOZA, Janeth. Recommendations in analgesia for open abdominal surgery. Rev. mex. anestesiol. [online]. 2019, vol.42, n.3, pp.210-210.  Epub Sep 13, 2021. ISSN 0484-7903.

Postoperative analgesia is one of the basic components in functional recovery after surgical intervention. The blocking of nociceptive stimulus contributes to decrease the response to surgical stress, accelerating rehabilitation and decreasing the incidence of chronic postoperative pain. By blocking the pain conduction pathways, the neuroendocrine, metabolic, inflammatory and immune response to surgical stress is limited. Epidural analgesia continues to be the reference standard in open abdominal surgery, in terms of the quality of dynamic analgesia and the reduction of extubation times, mechanical ventilation and respiratory complications, with the potential to reduce the rates of related adverse events (uncontrolled pain, motor blockage and urinary retention). Multimodal analgesia, based on a broad concept of combination of analgesics, adjuvant drugs and analgesic techniques, is presented as a safe and effective alternative (full version visithttp://www.painoutmexico.com ) .

Keywords : Analgesia in open abdominal surgery; multimodal analgesia; epidural analgesia.

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