rmtОбщая реаниматологияGeneral Reanimatology1813-97792411-7110FSBI "SRIGR" RAMS10.15360/1813-9779-2019-3-102-113rmt-1778Research ArticleОБЗОРЫ И КРАТКИЕ СООБЩЕНИЯREVIEWS & SHORT COMMUNICATIONSВарианты поперечно-плоскостной блокады и блокады квадратной мышцы (обзор)Variants of the Transverse Plane Block and Quadratus Lumborum Block (Review)МахаринО. А.MakharinO. A.

344022, г. Ростов-на-Дону, переулок Нахичеванский, д. 29 ;  344025, г. Ростов-на-Дону, ул. Сарьяна, д. 85/38

29 Nakhichevansky Per., Rostov-on-Don, 344022; 85/38 Sarian Str., Rostov-on-Don, 344025

olegmaharin@yandex.ruЖенилоВ. М.ZheniloV. M.

344022, г. Ростов-на-Дону, переулок Нахичеванский, д. 29

29 Nakhichevansky Per., Rostov-on-Don, 344022

СкоблоМ. Л.SkobloM. L.

344025, г. Ростов-на-Дону, ул. Сарьяна, д. 85/38

85/38 Sarian Str., Rostov-on-Don, 344025

Ростовский государственный медицинский университет Минздрава России; Городская больница № 6РоссияRostov State Medical University; City Hospital № 6Russian FederationРостовский государственный медицинский университет Минздрава РоссииРоссияRostov State Medical UniversityRussian FederationГородская больница № 6РоссияCity Hospital № 6Russian Federation201907072019153102113Copyright © Махарин О.А., Женило В.М., Скобло М.Л., 20192019Махарин О.А., Женило В.М., Скобло М.Л.Makharin O.A., Zhenilo V.M., Skoblo M.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.reanimatology.com/rmt/article/view/1778

Эффективная реализация концепции fast track (быстрая активизация пациента) после хирургического лечения невозможна без контроля над болью в раннем послеоперационном периоде. Использование регионарных методов как компонента мультимодальной терапии боли позволяет существенно улучшить качество послеоперационного обезболивания и ускорить активизацию пациента. Внедрение ультразвуковой навигации при применении блокад периферических нервов существенно повысило эффективность и безопасность последних. Тем не менее, каждый метод регионарного обезболивания имеет свои показания, противопоказания и осложнения. Цель данного обзора — помочь с выбором типа блокады передней брюшной стенки в зависимости от выполненного оперативного вмешательства.

Effective implementation of the fast track concept after surgical treatment is impossible without control of pain in the early postoperative period. Regional methods might significantly improve the quality of postoperative analgesia and accelerate patient recovery as a component of multimodal pain therapy. The implementation of ultrasonic navigation in peripheral nerve blockade protocols has significantly increased the efficiency and safety of the blockade. Nevertheless, each method of regional anesthesia has its own indications, contraindications, and complications. The purpose of this review is to help with the right choice of the type of blockade of the anterior abdominal wall, depending on the surgery performed.

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The authors declare that there are no conflicts of interest present.