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ABC - časopis urgentne medicine
2020, vol. 20, br. 1, str. 1-10
jezik rada: engleski
vrsta rada: pregledni članak
objavljeno: 01/05/2020
doi: 10.5937/abc2001001S
Creative Commons License 4.0
Postoperativna analgezija kod dece
aUniverzitet u Beogradu, Medicinski fakultet + Univerzitet u Beogradu, Medicinski fakultet, Univerzitetska dečija klinika
bUniverzitet u Beogradu, Medicinski fakultet, Univerzitetska dečija klinika

e-adresa: drdusica@yahoo.com

Sažetak

U mnogim centrima za dečju hirurgiju još uvek mnoga deca osete jak postoperativni bol. Faktori koji doprinose neakvatnom zbrinjavanju postoperativnog bola kod dece su: nedostatak iskustva, neadekvatna upotreba skala za procenu bola, individualna osetljivost na bol i potreba za analgeticima, razlike u farmakodinamici i farmakokinetici, starosno zavisno licenciranje lekova i relativni nedostatak odgovarajućih studija. Skale za procenu bola su zavisne od uzrasta deteta, njihovog razumevanja bola i skala. Najčešće korišćeni lekovi u zbrinjavanju postoperativnog bola kod dece su opioidni i neopioidni analgetici (nesteroidni antiinflamatorni lekovi, paracetamol, metamizol, Dexamethasone Alfa-2-agonisti i ketamine). Izvođenje tehnika regionalne anestezije postaje sve popularnije u cilju dobre postoperativne analgezije u dečijoj hirurgiji. Jak akutni postoperativni bol kod dece može da ima ozbiljne dugoročne posledice kao što je hronični bol. Od velike je važnosti da se akutni postoperativni bol leči od samog početka.

Ključne reči

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