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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">actabiomedica</journal-id><journal-title-group><journal-title xml:lang="ru">Acta Biomedica Scientifica</journal-title><trans-title-group xml:lang="en"><trans-title>Acta Biomedica Scientifica</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2541-9420</issn><issn pub-type="epub">2587-9596</issn><publisher><publisher-name>Scientific Centre for Family Health and Human Reproduction Problems</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.12737/article_5955e6b62887d2.79902673</article-id><article-id custom-type="elpub" pub-id-type="custom">actabiomedica-373</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>ПЕРСПЕКТИВЫ ПОВЫШЕНИЯ ЭФФЕКТИВНОСТИ ПОСЛЕОПЕРАЦИОННОГО ОБЕЗБОЛИВАНИЯ ПРИ ПРОВЕДЕНИИ НЕЙРОАКСИАЛЬНЫХ БЛОКАД (ОБЗОР ЛИТЕРАТУРЫ)</article-title><trans-title-group xml:lang="en"><trans-title>PROSPECTS FOR RAISING EFFICIENCY OF POSTOPERATIVE ANESTHESIA DURING NEURAXIAL BLOCK (REVIEW OF LITERATURE)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жарников</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zharnikov</surname><given-names>A. V.</given-names></name></name-alternatives><email xlink:type="simple">anatoliizharnikov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Плеханов</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Plekhanov</surname><given-names>A. N.</given-names></name></name-alternatives><email xlink:type="simple">plehanov.a@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВПО «Бурятский государственный университет»; НУЗ «Отделенческая клиническая больница ст. Улан-Удэ ОАО «РЖД»</institution></aff><aff xml:lang="en"><institution>Buryat State University; Railway Clinical Hospital at the Station of Ulan-Ude</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Иркутский научный центр хирургии и травматологии»; НУЗ «Отделенческая клиническая больница ст. Улан-Удэ ОАО «РЖД»</institution></aff><aff xml:lang="en"><institution>Irkutsk Scientific Center of Surgery and Traumatology; Railway Clinical Hospital at the Station of Ulan-Ude</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>28</day><month>02</month><year>2017</year></pub-date><volume>2</volume><issue>1</issue><fpage>107</fpage><lpage>111</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Жарников А.В., Плеханов А.Н., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Жарников А.В., Плеханов А.Н.</copyright-holder><copyright-holder xml:lang="en">Zharnikov A.V., Plekhanov A.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.actabiomedica.ru/jour/article/view/373">https://www.actabiomedica.ru/jour/article/view/373</self-uri><abstract><p>Представлены литературные данные, касающиеся методов послеоперационного обезболивания пациентов с максимальной адекватностью блокад и минимальными побочными эффектами и осложнениями. Дана характеристика методики с использованием катетеров для продлённой спинальной анестезии, а также показаны различные системы инкапсулирования анестетиков, таких как липосомные, микросферные системы микрокапсулирования, имплантируемые матрицы и лекарственные комплексы с циклодекстринами. В ряде работ экспериментально доказана эффективность данных методик.</p></abstract><trans-abstract xml:lang="en"><p>This article presents the literature data on existing methods of postoperative pain relief. The technique of extended micro-catheter postoperative analgesia is discussed, as well as advantages and disadvantages of the method. Described method of microencapsulation is used to prolong the action of drugs, in particular local anesthetics. The effectiveness of encapsulated 2% lidocaine and bupivacaine was experimentally proven. The research showed that structural components of liposomes, liposomes themselves and liposomal drugs have clear pharmacological effects, which is superior to their conventional forms. Liposomal membranes protect drugs from preterm metabolism, alter pharmacokinetics and pharmacodynamics that allow to greatly reduce the applicable doses, enhance the action and to reduce high toxicity of administered drugs. Liposomal forms of directed drug transport cross the blood-brain barrier, cell membrane and subcellular structures, which allows to recommend them for anesthesiological purposes, for treatment of cancer, infectious diseases, cardiac, neurological diseases, gene therapy, and many diseases that were previously resistant to classical pharmacotherapy. The study of epidural anesthesia with the use of liposomal bupivacaine for postoperative analgesia in cancer patients demonstrated that duration of drug action increased 2-3 times in comparison with conventional bupivacaine. There are on-going studies of liposomal drugs, filled with local anesthetics as a possible method of adequate postoperative analgesia and control of pain in the postoperative period.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>послеоперационное обезболивание</kwd><kwd>местные анестетики</kwd><kwd>продлённая анестезия</kwd><kwd>микросферы</kwd><kwd>липосомы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>postoperative analgesia</kwd><kwd>local anesthetics</kwd><kwd>prolonged anesthesia</kwd><kwd>microspheres</kwd><kwd>liposomes</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Абдулаев М.А. Исследование этиопатогенеза постспинальных головных болей // Материалы науч.-практ. конф. «Современные технологии в хирургии». -СПб., 2006. - С. 3-4.</mixed-citation><mixed-citation xml:lang="en">Абдулаев М.А. 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