Anestéziológia a intenzívna medicína 2/2016

Access to the treatment of perioperative pain: preemptive or preventive analgesia?

Despite the development of knowledge in the field of analgesic therapy, there is still relatively high number of patients with excessively high or undertreated postoperative pain and related occurrence of further complications. The right to treat the pain, can be characterized as an integral part of the patient’s rights summation. In the past proposed concept of pre-emptive analgesia is in recent years replaced by a broader approach called preventive analgesia. Within the formation and spread of pain is important not only surgical damage by itself but also the subsequent inflammatory response of the organism. As a part of preventive analgesia there is also the multimodal approach to these issues and within it, use of non-opioid drugs and various techniques of regional anesthesia. The submitted thesis is supplemented with results of study about perioperative pain therapy, which was realized on the author’s workplace.

Keywords: preemptive analgesia, preventive analgesia, multimodal approach, central sensitization, wound infiltration