OBJECTIFICATION OF POSTOPERATIVE PAIN SYNDROME FOR INDIVIDUALIZATION POSTOPERATIVE PAIN MANAGEMENT GUIDELINES IN ANESTHESIOLOGY AND INTENSIVE CARE
Conducted study of the possibility of more precise preoperative pain status objectification to predict the severity of postoperative pain to create the optimal guideline of postoperative pain management. The study identified the following groups of patients on the basis of objective indicators: 1. A group of probably resistance to painful stimuli - index of termoalgometry from 90 to 200 ms, with the indices visual analogue scale by tensoalgometry from 0 to 2; anxiety by Spielberger test is low or moderate.2. A group of probably moderately resistant to pain stimuli - index of termoalgometry from 60 to 89 ms, with the indices visual analogue scale by tensoalgometry from 1 to 3; anxiety by Spielberger test is moderate. 3. The group of probably unstable to painful stimuli - index of termoalgometry from 10 to 40 ms; the indices visual analogue scale by tensoalgometry from 3 to 4; anxiety by Spielberger test is moderate or high. Based on the data we have proposed variants of schemes of multimodal analgesia based on the resistance of the patient to painful stimuli (pain threshold level).