Clinical aspects of procedural and postoperative sedation

O.A. Loskutov


The article deals with the issues of intra- and postoperative sedation of surgical patients. Based on the results of a study on the Internet search engines Google and PubMed, with the introduction of the keywords: procedural analgesia, procedural sedation, postoperative analgesia, the author reviews the main directions and modern approaches of procedural and postoperative sedation. This work presents researches by various authors on this issue. On the example of various groups of patients, the analysis of the positive and negative sides of postoperative sedation is performed. This review also highlights the concept of multimodal analgesia for the treatment of postope-rative pain and provides various combinations of its clinical use. Particular attention in the article is paid to dexmedetomidine, various aspects of its clinical use and the mechanism of action are described, the distinguishing features of the drug are considered. At the end of the review, the author concludes that the use of the described balanced tactics of procedural and postoperative analgesia and sedation during surgical procedures, diagnostic procedures and surgeries is advisable to be introduced into the protocols of domestic clinics, which will undoubtedly help standardize approaches and improve the quality of patient management.


procedural analgesia; procedural sedation; dexmedetomidine; review


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