USE OF ROPIVACAINE IN ADULTS UNDERGOING PERORAL ENDOSCOPIC MYOTOMY
Currently, peroral endoscopic myotomy (POEM) gains increasingly frequent use for management of esophageal achalasia. Despite POEM being minimally invasive, the problem of the post-operative pain syndrome is still crucial for this type of surgery.The objective of the study: to compare the degree of p...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2018-07-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/244 |
| _version_ | 1797695025283334144 |
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| author | A. A. Klimov S. A. Kаmnev S. S. Kаzаkovа A. A. Mаlаkhovа I. Yu. Nedoluzhko S. I. Rudnitskiy V. V. Subbotin K. V. Shishin |
| author_facet | A. A. Klimov S. A. Kаmnev S. S. Kаzаkovа A. A. Mаlаkhovа I. Yu. Nedoluzhko S. I. Rudnitskiy V. V. Subbotin K. V. Shishin |
| author_sort | A. A. Klimov |
| collection | DOAJ |
| description | Currently, peroral endoscopic myotomy (POEM) gains increasingly frequent use for management of esophageal achalasia. Despite POEM being minimally invasive, the problem of the post-operative pain syndrome is still crucial for this type of surgery.The objective of the study: to compare the degree of pain syndrome in the early post-operative period in different POEM methods.Methods: 79 patients were divided into 2 groups depending on the solution injected into submucosal tissue in order to provide the safe performance of myotomy. 0.15% solution of ropivacaine was used in Group 1, and 0.9% solution of NaCl in Group 2. The severity of the pain syndrome was compared in all patients using a visual analog scale, as well as consumption of analgesics during first three days after surgery.Results. On the first post-operative day, the clinically significant pain syndrome was more frequent in Group 2 (p < 0.05). The need in non-steroidal anti-inflammatory drugs did not differ between the groups. On the 2nd day it was observed that the need in NSIAD went down in Group 1 (p < 0.01).Conclusion. The use of 0.15% solution of ropivacaine as an injection into submucosal tissue during surgery reduces the severity of the pain syndrome and the number of analgesics used in the early post-operative period. |
| first_indexed | 2024-03-12T03:06:17Z |
| format | Article |
| id | doaj.art-9739ef90bf964d4c97486da719da07a7 |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2024-03-12T03:06:17Z |
| publishDate | 2018-07-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-9739ef90bf964d4c97486da719da07a72023-09-03T14:32:50ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532018-07-01153202510.21292/2078-5658-2018-15-3-20-25235USE OF ROPIVACAINE IN ADULTS UNDERGOING PERORAL ENDOSCOPIC MYOTOMYA. A. Klimov0S. A. Kаmnev1S. S. Kаzаkovа2A. A. Mаlаkhovа3I. Yu. Nedoluzhko4S. I. Rudnitskiy5V. V. Subbotin6K. V. Shishin7ГБУЗ «Московский клинический научный центр им. А. С. Логинова» ДЗМГБУЗ «Московский клинический научный центр им. А. С. Логинова» ДЗМГБУЗ «Московский клинический научный центр им. А. С. Логинова» ДЗМГБУЗ «Московский клинический научный центр им. А. С. Логинова» ДЗМГБУЗ «Московский клинический научный центр им. А. С. Логинова» ДЗМГБУЗ «Московский клинический научный центр им. А. С. Логинова» ДЗМГБУЗ «Московский клинический научный центр им. А. С. Логинова» ДЗМГБУЗ «Московский клинический научный центр им. А. С. Логинова» ДЗМCurrently, peroral endoscopic myotomy (POEM) gains increasingly frequent use for management of esophageal achalasia. Despite POEM being minimally invasive, the problem of the post-operative pain syndrome is still crucial for this type of surgery.The objective of the study: to compare the degree of pain syndrome in the early post-operative period in different POEM methods.Methods: 79 patients were divided into 2 groups depending on the solution injected into submucosal tissue in order to provide the safe performance of myotomy. 0.15% solution of ropivacaine was used in Group 1, and 0.9% solution of NaCl in Group 2. The severity of the pain syndrome was compared in all patients using a visual analog scale, as well as consumption of analgesics during first three days after surgery.Results. On the first post-operative day, the clinically significant pain syndrome was more frequent in Group 2 (p < 0.05). The need in non-steroidal anti-inflammatory drugs did not differ between the groups. On the 2nd day it was observed that the need in NSIAD went down in Group 1 (p < 0.01).Conclusion. The use of 0.15% solution of ropivacaine as an injection into submucosal tissue during surgery reduces the severity of the pain syndrome and the number of analgesics used in the early post-operative period.https://www.vair-journal.com/jour/article/view/244ахалазия кардиипероральная эндоскопическая миотомияанестезиябольропивакаин |
| spellingShingle | A. A. Klimov S. A. Kаmnev S. S. Kаzаkovа A. A. Mаlаkhovа I. Yu. Nedoluzhko S. I. Rudnitskiy V. V. Subbotin K. V. Shishin USE OF ROPIVACAINE IN ADULTS UNDERGOING PERORAL ENDOSCOPIC MYOTOMY Вестник анестезиологии и реаниматологии ахалазия кардии пероральная эндоскопическая миотомия анестезия боль ропивакаин |
| title | USE OF ROPIVACAINE IN ADULTS UNDERGOING PERORAL ENDOSCOPIC MYOTOMY |
| title_full | USE OF ROPIVACAINE IN ADULTS UNDERGOING PERORAL ENDOSCOPIC MYOTOMY |
| title_fullStr | USE OF ROPIVACAINE IN ADULTS UNDERGOING PERORAL ENDOSCOPIC MYOTOMY |
| title_full_unstemmed | USE OF ROPIVACAINE IN ADULTS UNDERGOING PERORAL ENDOSCOPIC MYOTOMY |
| title_short | USE OF ROPIVACAINE IN ADULTS UNDERGOING PERORAL ENDOSCOPIC MYOTOMY |
| title_sort | use of ropivacaine in adults undergoing peroral endoscopic myotomy |
| topic | ахалазия кардии пероральная эндоскопическая миотомия анестезия боль ропивакаин |
| url | https://www.vair-journal.com/jour/article/view/244 |
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