Development and testing of the Russian version of Postoperative Quality of Recovery score — the QoR-40 and its short form — QoR-15

Nikitina, Tatiana; Kulikov, A. Yu.; Mishina, A.A.; Sidorov, D.D.; Ionova, Tatyana I.

doi:10.21320/1818-474x-2022-2-132-142

Cited by 5 publications

(1 citation statement)

References 11 publications

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“…Опитувальник заповнювали діти/ підлітки власноруч або один із батьків/опікун через 24 години після операції. Опитувальник PaedQoR складається із 2 двох частин: частина Аце 10 пунктів, котрі характеризують відчуття пацієнта протягом останніх 24 годин та оцінюються від 0 до 10, де: 0 -«жодного разу за весь час» (дуже погано) та 10 -«весь час» (відмінно), частина Б -це 5 пунктів, які відображають наявність певних ознак/симптомів протягом останніх 24 годин та оцінюються також від 0 до 10, але 10 -жодного разу за весь час (дуже погано) та 10, навпаки, означає «жодного разу за весь час» (відмінно), а 0 -«весь час» (дуже погано) [14].…”

Section: оригінальні дослідження загальна хірургіяunclassified

The effect of perioperative intravenous infusion of lidocaine on the quality of postoperative recovery after various types of surgical interventions in children

Goncharuk,

Tytarenko,

Voznyuk

et al. 2024

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Introduction. Early postoperative recovery in pediatric practice is an important problem for patients and the health care system as a whole. Aim: to investigate the quality of postoperative recovery of children after various types of surgical interventions. Materials and methods. The study involved 150 children who underwent trauma (group I), abdominal (group II) and urological (group III) surgical interventions. Each of these groups was divided into two subgroups: Іb (n=17), ІІb (n=19) and ІІІb (n=24) subgroups - included children who received intravenous lidocaine in the perioperative period, control Ia (n=23), IIa (n=29) and IIIa (n=38) subgroups - included children to whom lidocaine was not prescribed. The PaedQoR-15 questionnaire was used to assess the quality of postoperative recovery. Results. The use of perioperative intravenous lidocaine infusion is associated with an increase, compared to the control group, in the PaedQoR-15 score by 10.6% at 24 hours after trauma surgical interventions, by 21.3% and by 17% after abdominal and urological surgical interventions due to a decrease in the frequency of postoperative nausea after abdominal surgery, skin itching after all analyzed types of surgical treatment, a reduction 26.7% reduction in the time until the first gas release and by 19.3% reduction in the time until the appearance of bowel movements/defecation after abdominal surgery. It was observed that the stay of patients in the intensive care unit (ICU) was reduced by 120 minutes after trauma surgery and by 1.8 times after abdominal surgery. Conclusions. Perioperative lidocaine infusion may be useful in rapid postoperative rehabilitation programs. The research was carried out in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Local Ethics Committee of all participating institutions. The informed consent of parents and children was obtained for conducting the studies. No conflict of interests was declared by the authors.

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Section: оригінальні дослідження загальна хірургіяunclassified

The effect of perioperative intravenous infusion of lidocaine on the quality of postoperative recovery after various types of surgical interventions in children

Goncharuk,

Tytarenko,

Voznyuk

et al. 2024

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The optimal choice of regional anesthesia in total knee arthroplasty: a prospective, double-blind, randomized, placebo-controlled study

Andrianova,

Ezhevskaya,

Sushin

et al. 2023

Regional Anesthesia and Acute Pain Management

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BACKGROUND: Rapid advances has led to the widespread use of novel ultrasound-assisted regional anesthesia techniques, such as adductor canal block (ACB) and local infiltration of the interspace between the popliteal artery and the posterior knee capsule (iPACK-block). However, achieving adequate pain relief in patients undergoing total knee arthroplasty (TKA) remains an urgent problem for the anesthesiologist because universal recommendations for the use of blockades or their combinations have not been developed. OBJECTIVE: Our aim was to evaluate the effectiveness and safety of combinations of various types of iPACK-blocks with single ACB in TKA in achieving analgesia and restoration of knee joint functions. MATERIALS AND METHODS: A double-blind, randomized, placebo-controlled study of patients undergoing total knee arthroplasty was conducted over a 9-month period. One hundred six participants were divided into 3 groups: I — combination of single ACB + iPACK-block-placebo (n=35), II — combination of single ACB + proximal iPACK block (n=36), and III — combination of single ACB + distal iPACK block (n=35). Pain was assessed by VAS in the back of the knee. Time up and go test was performed. Range of motion in the knee joint (ROM), walking distance, and elevation of the operated limb were assessed. Sensory and motor block, postoperative nausea and vomiting severity, need for opioids, time to first analgesic use, and patient satisfaction were also assessed. RESULTS: Pain scores and other outcomes were higher in the group with ACB than in the groups with iPACK both at rest and during movement (p=0.000). Pain in the back of the knee was lower in the distal iPACK group (p1,3=0.003, p2,3=0.032), with no difference in pain between proximal iPACK and single ACB. Moreover, patients who received iPACK performed better in the functional tests on day 1 but not on day 2. In the proximal block group, 5.56±3.82% of cases reported sensorimotor blockade. There were no other adverse events. Patient satisfaction with anesthesia was lower in the ACB group (p=0.000) and no differences in satisfaction was seen in the iPACK blocks. CONCLUSION: The distal approach in iPACK block is an effective and simple technique to reduce pain in the back of the knee and risk of sensory block. Our findings indicate that combining adductor canal block and distal iPACK block is an optimal technique for achieving postoperative pain relief in patients undergoing total knee arthroplasty.

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Marginalizing Russian science. What to expect for Russian publishers and authors

Mzhelsky

2022

Science Management: Theory and Practice

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No country in the world has yet surpassed Russia by imposed sanctions volume and their severity. One of the of the sanctions goals is the marginalization of Russian science. The joint international statement of organizations such as Clarivate and Harvard Kennedy School states that the exclusion of Russia will have little effect on global science, especially on the leading countries of the West, since “Russia’s science system is weak, deteriorating and increasingly marginalised.” How true this is, what risks it carries and how to level them off is demonstrated by dozens of examples in Russian authors and journals in terms of Academic SEO, internationalization and other indicators.

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Development and testing of the Russian version of Postoperative Quality of Recovery score — the QoR-40 and its short form — QoR-15

Cited by 5 publications

References 11 publications

The effect of perioperative intravenous infusion of lidocaine on the quality of postoperative recovery after various types of surgical interventions in children

The effect of perioperative intravenous infusion of lidocaine on the quality of postoperative recovery after various types of surgical interventions in children

The optimal choice of regional anesthesia in total knee arthroplasty: a prospective, double-blind, randomized, placebo-controlled study

Marginalizing Russian science. What to expect for Russian publishers and authors

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