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术后镇痛新方向:远程缺血预处理
Authors Xiao Y, Zhang S, Ren Q
Received 21 December 2023
Accepted for publication 13 March 2024
Published 18 March 2024 Volume 2024:17 Pages 1145—1152
DOI https://doi.org/10.2147/JPR.S455127
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Professor Robert B. Raffa
Purpose of Review: Postoperative analgesia is currently a significant topic in anesthesiology. Currently, the predominant approach for achieving multimodal analgesia involves the utilization of pharmacotherapy and regional anesthesia procedures. The primary objectives of this approach are to mitigate postoperative pain, enhance patient satisfaction, and diminish overall opioid usage. Nevertheless, there is a scarcity of research on the use of remote ischemia preconditioning aimed at mitigating postoperative pain.
Recent Findings: Transient stoppage of blood flow to an organ has been found to elicit remote ischemia preconditioning (RIPC), which serves as a potent intrinsic mechanism for protecting numerous organs. In addition to its established role in protecting against reperfusion injury, RIPC has recently been identified as having potential benefits in the context of postoperative analgesia.
Summary: In addition to traditional perioperative analgesia, RIPC provides perioperative analgesia and organ protection.
Keywords: postoperative pain, remote ischemic preconditioning, inflammation, opioids