NEFOPAM IN THE STRUCTURE OF PERIOPERATIVE MULTIMODAL ANALGESIA IN PATIENTS WITH LUMBAR DISC HERNIATION: PRELIMINARY RESULTS

PURPOSE OF THE STUDY. To compare efficacy and safety of nefopam and paracetamol as components of the preventive multimodal anesthesia (PMA) in patients operated on for a hernia of an intervertebral disc (hID).MATERIAL AND METHODS. In 2013, 35 patients were operated on for hID. Group 1 (21) received...

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Main Authors: P. G. Genov, V. Kh. Timerbayev, A. A. Grin
Format: Article
Language:Russian
Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2016-03-01
Series:Неотложная медицинская помощь
Subjects:
Online Access:https://www.jnmp.ru/jour/article/view/220
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author P. G. Genov
V. Kh. Timerbayev
A. A. Grin
author_facet P. G. Genov
V. Kh. Timerbayev
A. A. Grin
author_sort P. G. Genov
collection DOAJ
description PURPOSE OF THE STUDY. To compare efficacy and safety of nefopam and paracetamol as components of the preventive multimodal anesthesia (PMA) in patients operated on for a hernia of an intervertebral disc (hID).MATERIAL AND METHODS. In 2013, 35 patients were operated on for hID. Group 1 (21) received PMA including wound infiltration by bupivacaine, ketoprofen and paracetamol. Group 2 (15) received nefopam instead of paracetamol. Intensity of postoperative pain, side effects and satisfaction of patients with anesthesia were assessed, and in 6 months later — existence and intensity of chronic pain.RESULTS. Intensity of postoperative pain, satisfaction with anesthesia, and also frequency and intensity of chronic pain didn’t differ in group 1 and 2. Occurrence of undesirable reactions was higher in group 2.CONCLUSION. In patients receiving nefopam and paracetamol as components of PMA, intensity of postoperative pain and also occurence and intensity of chronic pain don’t differ, but the patients receiving to nefopam, experience the undesirable reactions more often which do not affect satisfaction with anesthesia.
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spelling doaj.art-b6b67166a12a40a58d605b9f9e177d742023-08-02T08:34:47ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172016-03-01031115218NEFOPAM IN THE STRUCTURE OF PERIOPERATIVE MULTIMODAL ANALGESIA IN PATIENTS WITH LUMBAR DISC HERNIATION: PRELIMINARY RESULTSP. G. Genov0V. Kh. Timerbayev1A. A. Grin2N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, MoscowN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, MoscowN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, MoscowPURPOSE OF THE STUDY. To compare efficacy and safety of nefopam and paracetamol as components of the preventive multimodal anesthesia (PMA) in patients operated on for a hernia of an intervertebral disc (hID).MATERIAL AND METHODS. In 2013, 35 patients were operated on for hID. Group 1 (21) received PMA including wound infiltration by bupivacaine, ketoprofen and paracetamol. Group 2 (15) received nefopam instead of paracetamol. Intensity of postoperative pain, side effects and satisfaction of patients with anesthesia were assessed, and in 6 months later — existence and intensity of chronic pain.RESULTS. Intensity of postoperative pain, satisfaction with anesthesia, and also frequency and intensity of chronic pain didn’t differ in group 1 and 2. Occurrence of undesirable reactions was higher in group 2.CONCLUSION. In patients receiving nefopam and paracetamol as components of PMA, intensity of postoperative pain and also occurence and intensity of chronic pain don’t differ, but the patients receiving to nefopam, experience the undesirable reactions more often which do not affect satisfaction with anesthesia.https://www.jnmp.ru/jour/article/view/220removal of an intervertebral disc herniaspinal surgerypostoperative anesthesiamultimodal anesthesiapostoperative painnefopamparacetamol
spellingShingle P. G. Genov
V. Kh. Timerbayev
A. A. Grin
NEFOPAM IN THE STRUCTURE OF PERIOPERATIVE MULTIMODAL ANALGESIA IN PATIENTS WITH LUMBAR DISC HERNIATION: PRELIMINARY RESULTS
Неотложная медицинская помощь
removal of an intervertebral disc hernia
spinal surgery
postoperative anesthesia
multimodal anesthesia
postoperative pain
nefopam
paracetamol
title NEFOPAM IN THE STRUCTURE OF PERIOPERATIVE MULTIMODAL ANALGESIA IN PATIENTS WITH LUMBAR DISC HERNIATION: PRELIMINARY RESULTS
title_full NEFOPAM IN THE STRUCTURE OF PERIOPERATIVE MULTIMODAL ANALGESIA IN PATIENTS WITH LUMBAR DISC HERNIATION: PRELIMINARY RESULTS
title_fullStr NEFOPAM IN THE STRUCTURE OF PERIOPERATIVE MULTIMODAL ANALGESIA IN PATIENTS WITH LUMBAR DISC HERNIATION: PRELIMINARY RESULTS
title_full_unstemmed NEFOPAM IN THE STRUCTURE OF PERIOPERATIVE MULTIMODAL ANALGESIA IN PATIENTS WITH LUMBAR DISC HERNIATION: PRELIMINARY RESULTS
title_short NEFOPAM IN THE STRUCTURE OF PERIOPERATIVE MULTIMODAL ANALGESIA IN PATIENTS WITH LUMBAR DISC HERNIATION: PRELIMINARY RESULTS
title_sort nefopam in the structure of perioperative multimodal analgesia in patients with lumbar disc herniation preliminary results
topic removal of an intervertebral disc hernia
spinal surgery
postoperative anesthesia
multimodal anesthesia
postoperative pain
nefopam
paracetamol
url https://www.jnmp.ru/jour/article/view/220
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