ESTIMATION OF MULTI-MODAL ANALGESIA ADEQUACY IN THE PERIOPERATIVE PERIOD AT LONG-TERMED TRAUMATIZING ABDOMINAL OPERATIVE INTERVENTIONS
Abstract
PURPOSE OF THE STUDY. Improvement of perioperative multimodal analgesia at longtermed traumatizing abdominal interventions with estimation of its effectiveness.
MATERIALS AND METHODS. Eighty six patients have been examined and divided into 3 groups depending on anesthesia and postoperative pain relief methods.
RESULTS. The effectiveness of perioperative multimodal analgesia using methods affecting the whole pathogenesis of pain has been revealed. Minimal stress of central and peripheral hemodynamics parameters, less evident pain syndrome in the postoperative period, economic effect shown up by the decrease of the use of narcotic analgesics both in intra and postoperative period have been observed.
CONCLUSION. Algorithm of perioperative multimodal analgesia at longtermed and traumatizing abdominal operative interventions has been developed.
About the Author
V. Kh. Sharipova
Republic Research Center of Emergency Medical Care, Tashkent
Uzbekistan
Uzbekistan
References
1. Гилдасио С. Оливейра, Дипти Агаруал, Бензон Онорио Т. Периоперационное введение однократной дозы кеторолака предупреждает развитие болевого синдрома в послеоперационном периоде: метаанализ рандомизированных клинических испытаний // Регионар. анест. и лечение острой боли. – 2012. – № 2. – С. 16–31. De Oliveyra G.S., Agarual D., Benzon O.T. Perioperatsionnoe vvedenie odnokratnoy dozy ketorolaka preduprezhdaet razvitie bolevogo sindroma v posleoperatsionnom periode: metaanaliz randomizirovannykh klinicheskikh ispytaniy [Perioperative single dose Ketorolac prevents the development of pain syndrome in the postoperative period: a metaanalysis of randomized clinical trials]. Regionarnaya anesteziya i lechenie ostroy boli. 2012; 2 (16-31). (In Russian).
2. Kishore K., Agarwal A., Gaur A. Acute pain service // Saudi J. Anaesth. – 2011. – Vol. 5, N. 2. – P. 123–124.
3. Форрест, Дж. Б., Камю Ф., Гриени И.А. и др. Кеторолак, диклофенак и кетопрофен одинаково безопасны при лечении боли после обширных хирургических вмешательств // Регионар. анест. и лечение острой боли. – 2013. – № 4. – С. 35–43. Forrest, Dzh. B., Kamyu F., Grieni I.A., et al. Ketorolak, diklofenak i ketoprofen odinakovo bezopasny pri lechenii boli posle obshirnykh khirurgicheskikh vmeshatel’stv [Ketorolac, diclofenac and Ketoprofen are equally safe in the treatment of pain after extensive surgery]. Regionarnaya anesteziya i lechenie ostroy boli. 2013; 4: 35–43. (In Russian).
4. Chandrakantan A., Glass P.S. Multimodal therapies for postoperative nausea and vomiting, and pain // Brit. J. Anesth. – 2011. – Vol. 107, Suppl. 1. – P. 27–40.
5. Dullenkopf A., Müller R., Dillmann F., et al. An intraoperative pre-incision single dose of intravenous ketamine does not have an effect on postoperative analgesic requirements under clinical conditions // Anaesth. Intens. Care. – 2009. – Vol. 37, N. 5.– P. 753–757.
6. Hughes M.J., Ventham N.T., McNally S., et al. Analgesia after Open Abdominal Surgery in the Setting of Enhanced Recovery Surgery. A Systematic Review and Meta-analysis. // J.A.M.A. – 2014. – Vol. 149, N. 12. – P. 1224–1230.
7. Долгунов А.М., Шуматов В.Б., Полежаев А.А., Силин Н.В. Упреждающая мультимодальная аналгезия кетопрофеном и морфином в торакальной хирургии // Pacific. Med. J. – 2010. – № 3. – С. 59–61. Dolgunov A.M., Shumatov V.B., Polezhaev A.A., Silin N.V. Uprezhdayushchaya mul’timodal’naya analgeziya ketoprofenom i morfinom v torakal’noy khirurgii [Pre-emptive multimodal analgesia with Ketoprofenand morphine inthoracic surgery]. Pacific Med J. 2010; 3: 59–61. (In Russian).
8. Elia N., Lysakowski C., Tramer M. Concomitant use of non-opioid analgesic sand morphine after major surgery – is the clinically relevant morphine sparing effect? A meta–analysis of randomized trials // Europ. J. Anaesth. – 2005. – Vol. 22, Suppl. 34. – P. 187. – A726.
9. Albi-Feldzer A., Mouret-Fourme E., Hamouda S., et al. A double-blind randomized trial of wound and intercostal space infiltration with ropivacaine during breast cancer surgery: effects on chronic postoperative pain // Anesthesiology. – 2013. – Vol. 118, N. 2. – P. 318–326.
Review
For citations:
Sharipova V.Kh. ESTIMATION OF MULTI-MODAL ANALGESIA ADEQUACY IN THE PERIOPERATIVE PERIOD AT LONG-TERMED TRAUMATIZING ABDOMINAL OPERATIVE INTERVENTIONS. Russian Sklifosovsky Journal "Emergency Medical Care". 2015;(3):16-22.
Views:
1063
Email this article 