ПРИМЕНЕНИЕ ДЕКСМЕТОМИДИНА В КОМБИНАЦИИ С НЕФОПАМОМ ДЛЯ ПОСЛЕОПЕРАЦИОННОГО ОБЕЗБОЛИВАНИЯ ПОСЛЕ БАРИАТРИЧЕСКОЙ КОРРЕКЦИИ МОРБИДНОГО ОЖИРЕНИЯ

Aim. To study the possibility of using a combination of dexmedetomidine with nefopam for postoperative analgesia in patients with morbid obesity after bariatric surgery in anesthesia quality aspects and the impact of the study on the combination during the inflammatory response to surgical trauma. Subjects and methods. A prospective cohort study of 48 patients with obesity. Results. Based on the analysis of hemodynamic parameters, evaluation of pain using a numeric rating scale pain concluded that selective agonist of α-2 adrenergic dexmedetomidine in combination with nefopam provides effective postoperative pain relief in patients who underwent bariatric surgery, and is not a factor for suppression of postoperative inflammatory response Unlike the effects of ketorolac tromethamine, do not always provide a sufficient level of analgesia and reduce the rate of growth in the level of IL-6. Conclusion. The combination of dexmedetomidine with nefopam provides sufficient analgesic effect after bariatric surgery, with noted a more rapid onset of analgesia than with ketorolac. Postoperative analgesia and dexmedetomidine nefopam, unlike the use of ketorolac tromethamine, are not violated ratio of interleukins 1 and 6 was not a factor and suppression of postoperative acute phase inflammatory response.