COMPARATIVE EVALUATION OF EFFICIENCY AND SAFETY OF THE PROLONGED EPIDURAL AND CONDUCTION ANALGESIA AFTER ENDOPROSTHESIS REPLACEMENT OF LARGE JOINTS OF LOWER LIMBS IN CANCER PATIENTS
During the prospective non-randomized study 340 patients were operated due to bone tumors in the volume of tumor removal with consequent defect replacement with megaprothesis of the hip (n = 52), knee (n = 254), ankle (n = 11) joints and total endoprosthesis of femur (n = 23). The combination of spi...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2017-12-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/77 |
| _version_ | 1797702753068253184 |
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| author | R. V. Garyaev A. V. Sokolovskiy |
| author_facet | R. V. Garyaev A. V. Sokolovskiy |
| author_sort | R. V. Garyaev |
| collection | DOAJ |
| description | During the prospective non-randomized study 340 patients were operated due to bone tumors in the volume of tumor removal with consequent defect replacement with megaprothesis of the hip (n = 52), knee (n = 254), ankle (n = 11) joints and total endoprosthesis of femur (n = 23). The combination of spinal or superficial general anesthesia with epidural (n = 101) or conduction (n = 239) analgesia was used for pain relief. The regional pain relief after surgery continued for 3-4 days. The level of pain, need for additional pain relief, frequency of failures and complications were studied as per the digit rating scale. The following nonparametric analysis methods were used for statistical processing: U-Mann-Whitney test or Fisher’s exact test. The number of patients with acceptable pain level after surgery and the need for additional pain relief were non statistically different in the groups with epidural or conduction pain relief. With post-surgery epidural pain relief compared to conduction analgesia arterial hypotension (12% versus 5%, p = 0.035) and dysuric disorders (5% versus 0.4%, p = 0.010) developed more often. The conduction analgesia turned out to be more complicated from technical point of view. Conclusion: given the similar efficiency of pain relief the conduction analgesia compared to epidural one has been followed by the less number of the side effects. |
| first_indexed | 2024-03-12T04:54:32Z |
| format | Article |
| id | doaj.art-2712d55a1e204709aa3a07ca63754031 |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2024-03-12T04:54:32Z |
| publishDate | 2017-12-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-2712d55a1e204709aa3a07ca637540312023-09-03T09:15:38ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532017-12-01131374610.21292/2078-5658-2016-13-1-37-4677COMPARATIVE EVALUATION OF EFFICIENCY AND SAFETY OF THE PROLONGED EPIDURAL AND CONDUCTION ANALGESIA AFTER ENDOPROSTHESIS REPLACEMENT OF LARGE JOINTS OF LOWER LIMBS IN CANCER PATIENTSR. V. Garyaev0A. V. Sokolovskiy1ФГБНУ «Российский онкологический научный центр им. Н. Н. Блохина», МоскваФГБНУ «Российский онкологический научный центр им. Н. Н. Блохина», МоскваDuring the prospective non-randomized study 340 patients were operated due to bone tumors in the volume of tumor removal with consequent defect replacement with megaprothesis of the hip (n = 52), knee (n = 254), ankle (n = 11) joints and total endoprosthesis of femur (n = 23). The combination of spinal or superficial general anesthesia with epidural (n = 101) or conduction (n = 239) analgesia was used for pain relief. The regional pain relief after surgery continued for 3-4 days. The level of pain, need for additional pain relief, frequency of failures and complications were studied as per the digit rating scale. The following nonparametric analysis methods were used for statistical processing: U-Mann-Whitney test or Fisher’s exact test. The number of patients with acceptable pain level after surgery and the need for additional pain relief were non statistically different in the groups with epidural or conduction pain relief. With post-surgery epidural pain relief compared to conduction analgesia arterial hypotension (12% versus 5%, p = 0.035) and dysuric disorders (5% versus 0.4%, p = 0.010) developed more often. The conduction analgesia turned out to be more complicated from technical point of view. Conclusion: given the similar efficiency of pain relief the conduction analgesia compared to epidural one has been followed by the less number of the side effects.https://www.vair-journal.com/jour/article/view/77эпидуральная анальгезияпроводниковая анальгезияпослеоперационная анальгезия |
| spellingShingle | R. V. Garyaev A. V. Sokolovskiy COMPARATIVE EVALUATION OF EFFICIENCY AND SAFETY OF THE PROLONGED EPIDURAL AND CONDUCTION ANALGESIA AFTER ENDOPROSTHESIS REPLACEMENT OF LARGE JOINTS OF LOWER LIMBS IN CANCER PATIENTS Вестник анестезиологии и реаниматологии эпидуральная анальгезия проводниковая анальгезия послеоперационная анальгезия |
| title | COMPARATIVE EVALUATION OF EFFICIENCY AND SAFETY OF THE PROLONGED EPIDURAL AND CONDUCTION ANALGESIA AFTER ENDOPROSTHESIS REPLACEMENT OF LARGE JOINTS OF LOWER LIMBS IN CANCER PATIENTS |
| title_full | COMPARATIVE EVALUATION OF EFFICIENCY AND SAFETY OF THE PROLONGED EPIDURAL AND CONDUCTION ANALGESIA AFTER ENDOPROSTHESIS REPLACEMENT OF LARGE JOINTS OF LOWER LIMBS IN CANCER PATIENTS |
| title_fullStr | COMPARATIVE EVALUATION OF EFFICIENCY AND SAFETY OF THE PROLONGED EPIDURAL AND CONDUCTION ANALGESIA AFTER ENDOPROSTHESIS REPLACEMENT OF LARGE JOINTS OF LOWER LIMBS IN CANCER PATIENTS |
| title_full_unstemmed | COMPARATIVE EVALUATION OF EFFICIENCY AND SAFETY OF THE PROLONGED EPIDURAL AND CONDUCTION ANALGESIA AFTER ENDOPROSTHESIS REPLACEMENT OF LARGE JOINTS OF LOWER LIMBS IN CANCER PATIENTS |
| title_short | COMPARATIVE EVALUATION OF EFFICIENCY AND SAFETY OF THE PROLONGED EPIDURAL AND CONDUCTION ANALGESIA AFTER ENDOPROSTHESIS REPLACEMENT OF LARGE JOINTS OF LOWER LIMBS IN CANCER PATIENTS |
| title_sort | comparative evaluation of efficiency and safety of the prolonged epidural and conduction analgesia after endoprosthesis replacement of large joints of lower limbs in cancer patients |
| topic | эпидуральная анальгезия проводниковая анальгезия послеоперационная анальгезия |
| url | https://www.vair-journal.com/jour/article/view/77 |
| work_keys_str_mv | AT rvgaryaev comparativeevaluationofefficiencyandsafetyoftheprolongedepiduralandconductionanalgesiaafterendoprosthesisreplacementoflargejointsoflowerlimbsincancerpatients AT avsokolovskiy comparativeevaluationofefficiencyandsafetyoftheprolongedepiduralandconductionanalgesiaafterendoprosthesisreplacementoflargejointsoflowerlimbsincancerpatients |