ПРОФИЛАКТИКА И ЛЕЧЕНИЕ ПОСЛЕОПЕРАЦИОННОЙ ТОШНОТЫ И РВОТЫ В ДЕТСКОЙ ОТОРИНОЛАРИНГОЛОГИИ
В. Н. Агафонов
ФГБУ «Клиническая больница №1» УД Президента РФ, Москва
А. П. Якушенкова
И. Н. Пасечник
Д. А. Тимашков
А. Н. Бершина
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Ключевые слова

тошнота
рвота
терапия

Как цитировать

[1]
В. Н. Агафонов, А. П. Якушенкова, И. Н. Пасечник, Д. А. Тимашков, и А. Н. Бершина, ПРОФИЛАКТИКА И ЛЕЧЕНИЕ ПОСЛЕОПЕРАЦИОННОЙ ТОШНОТЫ И РВОТЫ В ДЕТСКОЙ ОТОРИНОЛАРИНГОЛОГИИ, КМКВ, вып. 4, сс. 59-65, дек. 2023.
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Аннотация

Послеоперационная тошнота и рвота (ПОТР) и тошнота и рвота после выписки (ТРПВ) остаются одними из самых распространенных осложнений при ЛОР-операциях у детей. ПОТР и ТРПВ могут существенно повлиять на сроки выписки из больницы, отсрочить возвращение к нормальной повседневной жизни и увеличить экономические затраты на проводимое лечение. Высокая распространенность ПОТР и ТРПВ сохраняется, несмотря на внедрение новых антиэметиков и более агрессивное их применение для профилактики ПОТР. Фармакологическое лечение ПОТР должно быть адаптировано к уровню риска пациента с использованием валидированных систем оценки риска ПОТР и ТРПВ, чтобы внедрять эффективные методы профилактики и лечения, и минимизировать вероятность неблагоприятных побочных эффектов, обусловленных взаимодействием лекарственных средств в периоперационном периоде. В дополнение к использованию профилактических противорвотных препаратов, для достижения более быстрого восстановления после операции, важно осуществлять контроль послеоперационной боли с использованием мультимодальных методов обезболивания с минимизацией применения опиоидных анальгетиков.
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Литература

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