Pain medicine 2022-02-11T14:55:22+02:00 Oleksandr Marchuk Open Journal Systems <p>"Medicina bolu" is a science-and-practice periodical for medical professionals. The main highlighting issue is pain, but not the only one, because in medicine there are no situations where a phenomenon is strictly isolated. Sign up for a print edition and follow up on the site to keep up with important and useful information.</p> <p>Thematic interests of the journal<br>Fundamental aspects of pain (clinical physiology, pathophysiology, pharmacology).<br>Applied aspects of pain (epidemiology, pain assessment, innovative methods of diagnosis and treatment, clinical pharmacology).<br>Clinical aspects of pain (acute pain, chronic pain, perioperative pain, posthumous pain, neuropathic pain, dysfunctional pain).<br>Clinical and anatomical approach to pain (headache, orofacial pain, neck and back pain, toothache, musculoskeletal pain, myofascial pain, fibromyalgia, visceral pain, pelvic pain, cardialgia, etc.).<br>Interdisciplinary approach to pain (in anesthesiology, in surgery, in pediatrics, neurology, vertebrology, in the clinic of internal diseases, oncology, rheumatology, gerontology, gastroenterology, traumatology and orthopedics, otorhinolaryngology, dentistry, obstetrics, gynecology and urology, in the palliative and hospice medicine).<br>Treatment and rehabilitation of patients suffering from pain (pharmacotherapy, physical rehabilitation, medical rehabilitation, alternative methods of treatment, means of psychological and psychotherapeutic influence, invasive methods of pain relief, organization of pain relief).<br>Separate clinical cases and their clinical examination.</p> Regional anesthesia in ophthalmic surgery (overview of the problem) 2022-02-11T14:55:22+02:00 M Khodakovsky <p>The article is devoted to the optimization of anes­thetic management using regional methods of anesthesia in ophthalmic surgery. Methods and techniques of anesthetic management provide a sufficient level of anesthetic protec­tion. All variants of regional anesthesia (monocomponent and combined) are used in the ophthalmological clinic “Op­timal” on the basis of the Department of Anesthesiology, In­tensive Care and Emergency Medicine of National Pirogov Memorial Medical University, Vinnytsia.</p> 2022-02-11T00:00:00+02:00 Copyright (c) 2022 Features of diving headache 2022-02-11T14:55:20+02:00 K Ostrovska <p>WHO estimates that the prevalence of headaches worldwide in the adult population is approximately 50 %. Globally, half to three­quarters of people aged 18 to 65 have complained of headaches in the past year, and more than 30 percent have suffered from migraines. At the same time, 1.7 to 4 % of the adult population suffers from head­aches that last 15 or more days a month. Undoubtedly, cephalgia constitutes a global problem.<br>However, it is worrying that the causes of headaches are not always correctly diagnosed. The main clinical barrier pointed out by WHO is the lack of knowledge of health pro­fessionals about headache management. Thus, the broad coverage of issues related to the management of patients with cephalgia does not lose its relevance, and even more: it needs to be supplemented with current data. In particular, the mechanisms of headache can be associated with several pathophysiological processes that are triggered by the in­fluence of professional activities, specific physical activity, active leisure, or amateur sports.<br>Recreational diving has become a popular form of active leisure for the past 20 years. It is noteworthy that headache is a common symptom in divers and, although it is usually benign, it can sometimes signal the serious consequences of high pressure. Proper diagnostic tactics require specialists to carefully collect the anamnesis and examine the patient, as well as to understand the unique physiological changes in the human body that occur under the influence of under­water environmental factors.</p> 2022-02-11T00:00:00+02:00 Copyright (c) 2022 Possibility to use quanadex (dexmedetomidine) for caesarean section in patients with pre-eclampsia 2022-02-11T14:55:18+02:00 Kim Yong­-Din N Nadyrkhanova R Tkachenko Yu Kulichkin F Nishanova <p>A prospective, double­blind, randomized, con­trolled clinical trial was conducted at the Republican Spe­cialized Scientific and Practical Medical Center of Obstet­rics and Gynecology of the Ministry of Health of the Repub­lic of Uzbekistan. The inclusion criteria for pregnant wom­en in the study was preeclampsia. All women were divided into 2 groups. In group I, premedication was performed on the table with sibazon 5 mg. In group II, starting from the moment of premedication, 0.5 µg/kg of quanadex (Yuriya Pharm) was administered intravenously for 15 minutes. The maintaining dose was 0.5–0.8 µg/kg/h. 0.5 % hyper­baric longocaine heavy was administered intrathecally at the LII–LIV level. Hemodynamics was assessed by echocardi­ography. BAC and electrolytes, lactate, glucose, hematocrit were studied on a gas analyzer “BGA­102” Wondfo (Rain Sen Da), NTproBNP, Cystatin­C, interleukin­6 and protein S­100 were determined on an immunofluorescence ana­lyzer Finecare™ FIA MeterPlus/FS 113 (Wonfo), sedation was assessed using the Richmond scale. Newborns were assessed for Apgar scores in the 1st and 5th minutes.<br>The data obtained showed that patients randomized to the group with dexmedetomidine (Group II) were almost al­ways better able to awaken than patients in the group with sibazon, and were distinguished by better hemodynamic stability, antinociceptive protection for surgical and anes­thetic intervention, without pronounced arterial hypoten­sion and bradycardia. It did not cause significant adverse outcomes in newborns.</p> 2022-02-11T00:00:00+02:00 Copyright (c) 2022 Choice of local anesthetic in obstetric anesthesiology: literature review and demonstration of our own experience 2022-02-11T14:55:15+02:00 E Grizhimalskiy A Harha <p>Regional anesthesia is widely used in obstetric practice, and in many cases is the method of choice. It in­cludes neuroaxial anesthesia (spinal, epidural, combined spinal­epidural, epidural with dura mater puncture), region­al blocks (eg, TAP block, QL block, ESP block, pudendal block, etc.), as well as local infiltration anesthesia, which is used for both anesthesia and postoperative analgesia. The correct choice of local anesthetic, its dose and concentration is of fundamental importance in obstetric anesthesiology, as it is necessary to ensure the highest quality blockade with mini­mal side effects on mother and fetus.</p> 2022-02-11T00:00:00+02:00 Copyright (c) 2022 Pain medicine in fiction. Bekhterev's disease in Evgenii Litvak’s web novel “The Age of Glory and Hope” 2022-02-11T14:55:12+02:00 T Bondarieva <p>The article provides an overview of pain medicine as a component of the art world of fiction. The semantic meaning of the disease (for example, tuberculosis, epilepsy, infectious diseases (plague), Bekhterev's disease) as one of the character's or author's characteristic (Lesya Ukrainka) is analyzed. A general analysis of the integrative connec­tions between medicine and literature as humanities is of­fered. On the example of the web novel “The Age of Glory and Hope” by Evgenii Litvak, the course of Bekhterev's dis­ease in the main character is reviewed, as well as the ther­apy proposed by the author in the work as opposed to the conventional medicine. It is noted that the state of pregnan­cy in which the main character of the novel is, contributes to the intensification of blood supply in the body, which can positively affect recovery. In particular, it is emphasized that in the modern informational space the user has ac­cess to special knowledge and professional sources, which allows to operate with specialized medical knowledge (at the erudition level) in the fiction, while being clear to the reader, which is one of the features of internet literature, which includes the web novel “The Age of Glory and Hope” by Evgenii Litvak.</p> 2022-02-11T00:00:00+02:00 Copyright (c) 2022