Postoperative Analgesia in Children. Are There Any Methods Available Today?

Zabolotski, D. V; Корячкин, В А; Ульрих, Г Э

doi:10.18821/1993-6508-2017-11-2-64-72

Cited by 6 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…коленного сустава пациентов на следующие сутки после вмешательства переводили в профильное отделение, где послеоперационное эпидуральное обезболивание продолжали с использованием 0,2% раствора ропивакаина через микроинфузионную помпу (скорость введения препарата в каждом конкретном случае определяет анестезиолог-реаниматолог). При переводе пациента из отделения реанимации в профильное отделение с эпидуральной аналгезией оформлялся протокол передачи больного с указанием всех препаратов, применяемых для постоянной инфузии через микроструйную помпу с установленной анестезиологом скоростью [18].…”

Section: описание медицинского вмешательстваunclassified

Perioperative anesthesia in children with oncological diseases: prospective single-center continuous cohort study of a 6-year clinical experience

Matinyan

Kuznetsov

Kovaleva

et al. 2022

Regional Anesthesia and Acute Pain Management

View full text Add to dashboard Cite

BACKGROUND: Effective anesthesia is one of the most important factors in rapid and successful rehabilitation after surgery. Inadequately selected analgesia and consequent pain significantly slow down the recovery process and are associated with several complications that cover almost all organs and systems and reduce the patients quality of life in the long term. OBJECTIVE: This study aimed to analyze 6 years of clinical experience with perioperative epidural anesthesia in the Research Institute of Pediatric Oncology, considering the effectiveness, safety, and satisfaction of patients and their legal representatives with this medical aid. MATERIALS AND METHODS: A prospective single-center continuous cohort study was conducted on patients who received epidural analgesia as part of perioperative anesthesia in the period from 2016 to 2021. Data from 702 (48.5%) boys and 745 (51.5%) girls were analyzed. Children were divided into three main groups according to age: from 1 month to 1 year (14.3%), from 1 year to 7 years (37.8%), and from 8 years to 18 years (47.8%). The area of surgical intervention was also considered: abdominal surgery (65.2%), thoracic (8.5%), and orthopedic (26.4%). The choice of the local anesthesia level has also influenced the results. The main study outcomes were the intensity of postoperative pain syndrome in pediatric oncosurgery and additional consumption of narcotic analgesics after the administration of a mixture of topical drugs with or without adjuvants into the epidural space. RESULTS: The effectiveness of epidural anesthesia in the intraoperative period was quite high, which is confirmed by the stability of hemodynamic parameters. Intraoperatively, additional administration of systemic narcotic analgesics was noted in 5% of the total sample. In all observed patients, epidural adjuvants (morphine and promedol) ensured the optimal duration of action and analgesic efficacy of caudal blockade in the postoperative period; therefore, additional painkillers were not needed. Satisfaction with the intervention was generally high, with 98% providing a rating of very good or good. CONCLUSION: Anesthesia methods (epidural blockade), optimal pain control, and active postoperative recovery (including early oral nutrition and mobilization) in fast-track surgery reduce stress reactions and organ dysfunction, significantly reducing the time required for a full recovery.

show abstract

Section: описание медицинского вмешательстваunclassified