PERIDURAL ANALGESIS IN THE POSTOPERATIVE PERIOD WITH ABDOMINAL INTERVENTIONS
Abstract
Aim: A comparative study of the results of treatment of acute postoperative pain after abdominal interventions based on epidural analgesia.
Materials and methods: 96 patients (mean age 42.13 ± 2.1 years) who underwent surgery on the abdominal organs who were in the early postoperative period under treatment in the intensive care unit of the National Medical Center of the Republic of Tatarstan for the period 2014-2018 were examined.
Results and its discussions. A criterion for the effectiveness of postoperative analgesia is considered to be a decrease in the intensity of the pain syndrome of more than 3 points out of 10. At the initial assessment of the strength of the pain according to YOUR after extubation at rest and during coughing, no significant intergroup differences were revealed.
Conclusion: The method of epidural analgesia allows you to quickly form and maintain adequate analgesia at the required level compared to traditional methods of epidural analgesia and helps to reduce the risk of opioids due to side effects (excessive sedation, skin itching and dyspeptic symptoms) compared with infusion and bolus peridural analgesia.
About the Authors
L. R. Dostiev
SI “Republican Scientific Clinical Center of Pediatrics and Children’s Surgery”
Tajikistan
Tajikistan
Z. N. Nabiev
SI “Republican Scientific Clinical Center of Pediatrics and Children’s Surgery”
Tajikistan
Tajikistan
Z. K. Fathulloev
SI “Republican Scientific Clinical Center of Pediatrics and Children’s Surgery”
Tajikistan
Tajikistan
References
1. Yefremenko I.V. Analiz effektivnosti izolirovannogo i sochetannogo naznacheniya neopioidnykh analgetikov i adyuvantov pri razlichnykh khirurgicheskikh vmeshatelstvakh [Analysis of the effectiveness of isolated and combined prescription of non-opioid analgesics and adjuvants in various surgical interventions] Regionarnaya anesteziya i lecheniye ostroy boli - Regional anesthesia and treatment of acute pain. - 2015. - №3. - Р. 19-28.
2. Israilova V.K. Osobennosti obezbolivaniya v rannem posleoperatsionnom periode u bolnykh posle obshirnykh operatsiy na organakh bryushnoy polosti [Features of anesthesia in the early postoperative period in patients after extensive operations on the abdominal organs] Vestnik khirurgii Kazakhstana - Bulletin of surgery of Kazakhstan - 2011. - №4 (28). – P. 89-92.
3. Molchanov I.V. Prakticheskiye aspekty posleoperatsionnoy analgezii [Practical aspects of postoperative analgesia]. Klinicheskaya praktika - Clinical practice. - 2012. - №1. – P. 65-73.
4. Nikoda V.V. Sovremennyye tekhnologii obezbolivaniya: primeneniye kontroliruyemoy patsiyentom analgezii pri ostroy posleoperatsionnoy boli [Modern technologies of anesthesia: the use of patient-controlled analgesia in acute postoperative pain]. Klinicheskaya i eksperimentalnaya khirurgiya - Clinical and experimental surgery. - 2016. - №3 (13). – P. 44-50.
5. Rakhmatova R.A. Periduralnaya analgeziya pri kombinirovannoy anestezii u detey rannego vozrasta [Peridural analgesia with combined anesthesia in young children]. Materialy V syezda pediatrov i detskikh khirurgov Tadzhikistana s mezhdunarodnym uchastiyem - Materials of the V Congress of Pediatricians and Pediatric Surgeons of Tajikistan with international participation. - 2010. - P. 272-275.
6. Johns N, O’Neill S, Ventham NT and other. Clinical effectiveness of transversus abdominis plane (TAP) block in abdominal surgery: a systematic review and meta-analysis. Colorectal Dis. 2012 Oct;14(10):e635-42. doi: 10.1111/j.1463-1318.2012.03104.x. PMID: 22632762.
7. Wu Y, Liu F, Tang H. and other. The analgesic efficacy of subcostal transversus abdominis plane block compared with thoracic epidural analgesia and intravenous opioid analgesia after radical gastrectomy. Anesth Analg. 2013 Aug;117(2):507-13. doi: 10.1213/ANE.0b013e318297fcee. Epub 2013 Jun 6. PMID: 23744953.
8. Youssef N, Orlov D, Alie T. and other. What epidural opioid results in the best analgesia outcomes and fewest side effects after surgery? a meta-analysis of randomized controlled trials. Anesth Analg. 2014 Oct;119(4):965-77. doi: 10.1213/ANE.0000000000000377. PMID: 25126704.
Review
For citations:
Dostiev L.R., Nabiev Z.N., Fathulloev Z.K. PERIDURAL ANALGESIS IN THE POSTOPERATIVE PERIOD WITH ABDOMINAL INTERVENTIONS. Health care of Tajikistan. 2020;(3):16-21. (In Russ.)
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