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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">inovmed</journal-id><journal-title-group><journal-title xml:lang="ru">Инновационная медицина Кубани</journal-title><trans-title-group xml:lang="en"><trans-title>Innovative Medicine of Kuban</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2541-9897</issn><publisher><publisher-name>Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.35401/2541-9897-2023-8-4-134-141</article-id><article-id custom-type="elpub" pub-id-type="custom">inovmed-772</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>Анальгезия у пациентов  после аортокоронарного шунтирования</article-title><trans-title-group xml:lang="en"><trans-title>Analgesia in Patients After Coronary Artery Bypass Grafting</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9950-2814</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Джопуа</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Dzhopua</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Джопуа Максим Астамурович, врач-­анестезиолог – реаниматолог, отделение анестезиологии реанимации № 2.1</p><p>143081, Московская область, Одинцовский городской округ, Лапино, 1-е Успенское шоссе, 111/1</p></bio><bio xml:lang="en"><p>Maksim A. Dzhopua, Anesthesiologist-­Intensivist, Anesthesiology and Resuscitation Division No. 2.1</p><p>1-oe Uspenskoe shosse 111/1, Lapino, 143081, Odintsovo City District, Moscow Region</p></bio><email xlink:type="simple">Dzhopua.M.A@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0271-4643</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Эзугбая</surname><given-names>Б. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ezugbaia</surname><given-names>B. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Эзугбая Бека Сосоевич, к. м. н., врач-­анестезиолог – реаниматолог</p><p>Глухово</p></bio><bio xml:lang="en"><p>Beka S. Ezugbaia, Cand. Sci. (Med.), Anesthesiologist­-Intensivist</p><p>Glukhovo</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6555-7369</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аветисян</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Avetisian</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аветисян Ваагн Ашотович, врач-­анестезиолог – реаниматолог</p><p>Глухово</p></bio><bio xml:lang="en"><p>Vaagn A. Avetisian, Anesthesiologist-­Intensivist</p><p>Glukhovo</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9454-0002</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Груздев</surname><given-names>В. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Gruzdev</surname><given-names>V. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Груздев Вадим Евгеньевич, к. м. н., врач­-анестезиолог – реаниматолог, заведующий отделением анестезиологии и реанимации № 2.1</p><p>Лапино</p></bio><bio xml:lang="en"><p>Vadim E. Gruzdev, Cand. Sci. (Med.), Anesthesiologist-Intensivist, Head of Anesthesiology and Resuscitation Division No. 2.1</p><p>Lapino</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3400-8989</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Корячкин</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Koriachkin</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Корячкин Виктор Анатольевич, д. м. н, профессор кафедры анестезиологии и реаниматологии и неотложной педиатрии им. В.И. Гордеева</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Victor A. Koriachkin, Dr. Sci. (Med.), Professor at the Anesthesiology, Intensive Care, and Emergency Pediatrics Department named after V.I. Gordeev</p><p>Saint Petersburg</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Онкологический центр Лапино-2</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Lapino­2 Cancer Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>АО Ильинская больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ilyinskaya Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Санкт-Петербургский государственный педиатрический медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint Petersburg State Pediatric Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2023</year></pub-date><volume>0</volume><issue>4</issue><fpage>134</fpage><lpage>141</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Джопуа М.А., Эзугбая Б.С., Аветисян В.А., Груздев В.Е., Корячкин В.А., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Джопуа М.А., Эзугбая Б.С., Аветисян В.А., Груздев В.Е., Корячкин В.А.</copyright-holder><copyright-holder xml:lang="en">Dzhopua M.A., Ezugbaia B.S., Avetisian V.A., Gruzdev V.E., Koriachkin V.A.</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.innovmedkub.ru/jour/article/view/772">https://www.innovmedkub.ru/jour/article/view/772</self-uri><abstract><p>Адекватный контроль послеоперационного болевого синдрома после кардиохирургических операций остается на сегодняшний день актуальной проблемой. В данной работе рассмотрена патофизиология болевого синдрома после кардиохирургических операций. Подробно представлена концепция мультимодального обезболивания и регионарных методик, их преимущества и недостатки.</p></abstract><trans-abstract xml:lang="en"><p>Adequate postoperative pain management remains a challenge. We discuss pathophysiology of pain after cardiac surgery and describe in detail multimodal and regional anesthesia, their advantages and disadvantages.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>аортокоронарное шунтирование</kwd><kwd>послеоперационная анальгезия</kwd><kwd>мультимодальная анальгезия</kwd><kwd>регионарные методы обезболивания</kwd></kwd-group><kwd-group xml:lang="en"><kwd>coronary artery bypass grafting</kwd><kwd>postoperative analgesia</kwd><kwd>multimodal analgesia</kwd><kwd>regional anesthesia techniques</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">Бокерия Л.А., Милиевская Е.Б., Прянишников В.В., Юрлов И.А., Кудзоева З.Ф. Сердечно-сосудистая хирургия - 2021. Болезни и врожденные аномалии системы кровообращения. Национальный медицинский исследовательский центр сердечно-сосудистой хирургии имени А.Н. 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