ПРОБЛЕМЫ АНАЛЬГОСЕДАЦИИ И ПУТИ ЕЕ ОПТИМИЗАЦИИ У БОЛЬНЫХ В КРИТИЧЕСКИХ СОСТОЯНИЯХ

  • А. Н. Колесников ГОО ВПО «Донецкий национальный медицинский университет имени М. Горького», Донецк
  • Е. И. Гридасова ГОО ВПО «Донецкий национальный медицинский университет имени М. Горького», Донецк
  • М. Ю. Осканова Республиканская клиническая больница Республики Ингушетия, Назрань, Россия
  • Л. Г. Кварацхелия ГОО ВПО «Донецкий национальный медицинский университет имени М. Горького», Донецк

Аннотация

В статье рассмотрена проблема адекватной анальгоседации больных в критических состояниях, представлены различные фармакологические эффекты современных седативных и анальгетических препаратов, а также их адъювантов, назначаемых в интенсивной терапии.
Предложены современные подходы к анальгоседации больных с позиций хронофизиологии и хронофармакологии, то есть с учетом циркадных ритмов и влияния препаратов на циркадные ритмы пациента. Высказано мнение, что оптимизация времени приема препаратов будет способствовать снижению токсичности и побочных эффектов препаратов, лучшему клиническому эффекту в лечении больных.

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Опубликована
2020-02-28
Как цитировать
КОЛЕСНИКОВ, А. Н. et al. ПРОБЛЕМЫ АНАЛЬГОСЕДАЦИИ И ПУТИ ЕЕ ОПТИМИЗАЦИИ У БОЛЬНЫХ В КРИТИЧЕСКИХ СОСТОЯНИЯХ. Университетская клиника, [S.l.], n. 1(34), p. 81-89, фев. 2020. ISSN 1819-0464. Доступно на: <http://journal.dnmu.ru/index.php/UC/article/view/438>. Дата доступа: 05 июнь 2020 doi: https://doi.org/10.26435/uc.v0i1(34).438.