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2013 | 07 | 3 |
Tytuł artykułu

Efficacy assessment of the different methods of postoperative pain management in patients operated on rectal cancer

Języki publikacji
EN
Abstrakty
EN
The research deals with the study of respiratory function in adequate postoperative pain management of patients operated on rectal cancer. 120 patients (age range 45-69) were observed during the research. The patients were divided in II groups. I group (=30) was given multicomponent IV analgesia (propofol+fentanil) with total muscle relaxation (atracurium besylate), assisted ventilation and postoperative opiate painkilling. II group (n=60) was given monosegmental spinal and epidural anesthesia followed by induction (propofol+atracurium besylate), assisted ventilation and postoperative epidural analgesia with ropivacaine. The results indicate the advantage of epidural analgesia with ropivacaine, which provides better psychological and emotional background, prevents negative pulmonary manifestations and facilitates fast and comfortable intestinal peristalsis resumption.
Wydawca
-
Czasopismo
Rocznik
Tom
07
Numer
3
Opis fizyczny
p.10-12,ref.
Twórcy
autor
  • Anesthesiology and Intensive Care Department, Ivano-Frankivsk National Medical University, Galytska Str.2, 76018, Ivano-Frankivsk, Ukraine
autor
  • Anesthesiology and Intensive Care Department, Ivano-Frankivsk National Medical University, Galytska Str.2, 76018, Ivano-Frankivsk, Ukraine
Bibliografia
  • 1. Green E., Zwaal C., Beals C., Fitzgerald B., Harle I., Jones J., Tsui J., Volpe J., Yoshomito D., Wiernikowski J. (2010), Cancer-related pain management: a report of evidence-based recommendations to guide practice. «Clin J Pain», Vol. 26, N.6, PP. 449-62.
  • 2. Horlocker T.T., Wedel D.J., Bnezon H. et al (2003), Regional anesthesia in the anticoagulated patient: Defining the risks (The Second ASRA Consensus Conference on Neuroaxial Anesthesia and Anticoagulation). «Reg Anesth Pain Med.», 28, PP. 172-197.
  • 3. Lee P.K., Kim J.M. (2000), Lumbar epidural blocks: a case of a life –threatening complication. «Arch. Phys. Med. Rehabil.», Vol. 81, N.12, P. 1587-1590. Efficacy assessment... Human and Health, 2013, Volume VII, Issue 3 - 12 -
  • 4. Lisnyi I.I. (2013), Monitoring and correction of neurovegetative and nociceptive disorders during intensive postoperative care of the patients. Ph.D. Thesis. Reading University: Gorkyi Donetsk National Medical University, Ukraine.
  • 5. Nogueira F.L., Sakata R.K. (2012), Palliative Sedation of Terminally ill Patients. «Revista Brasileira de Anestesiologia », Vol. 62, N. 4, PP. 580-592.
  • 6. Osipova N.A., Abuzarova G.R., Petrova V.V. (2010), The principles of analgesia in chronic and acute pain. «Herzen Moscow Oncological research Centre Clinical Recommendations», PP. 67.
  • 7. Rigg J.R., Jamrozik K., Myles P.S. (2002), Epidural anesthesia and analgesia and outcome of major surgery. «Lancet », 359, P.1276
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