Comparison of methods of analgesia in patients after pancreatic surgery: a cohort retrospective study
- 作者: Ezugbaia B.1, Fedorov S.1, Avetisian V.1, Nikitenko E.1, Sizov V.2, Kamnev S.1, Koriachkin V.3
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隶属关系:
- Ilinskaya Hospital
- University Hospital Ayr
- Saint-Petersburg State Pediatric Medical University
- 期: 卷 16, 编号 3 (2022)
- 页面: 219-230
- 栏目: Original articles
- URL: https://journals.rcsi.science/1993-6508/article/view/232471
- DOI: https://doi.org/10.17816/RA109528
- ID: 232471
如何引用文章
详细
AIM: To compare the effectiveness of postoperative analgesia by methods of epidural blockade (EB) and rectus sheath block (RSB) in the early postoperative period in patients who underwent pancreatic surgery.
MATERIALS AND METHODS: A retrospective analysis of inpatient case histories of patients after pancreatic surgery at JSC Ilyinsky Hospital for the period from 2019 to 2021 (n=92) was conducted. For the study, 78 cases were selected, which were divided into two groups: the first group (n=46) received EB with a local anesthetic in the postoperative period, and the second group (n=32) underwent RSB followed by the introduction of a local anesthetic solution.
RESULTS:The level of pain on the visual analog scale was statistically significantly higher in the first group on day 1(1.07 [0.50–1.80] and 0.48 [0.08–1.13], respectively, p=0.013) and day 2 (0.82 [0.25–1.33] and 0.33 [0.06–0.75], respectively, p=0.021), and no differences were found on day 3 (p=0.060). The frequency of additional use of opioid analgesia did not differ between the study groups (day 1, p=0.233; day 2, p=0.570; and day 3, p=0.092 The use of norepinephrine infusion in the early postoperative period (p=0.842), daily and cumulative water balance (day 0, p=0.851; day 1, p=0.883; and day 2, p=0.319; day 3, p=0.718; and cumulative balance, p=0.707), and verticalization time (p=0.800) also showed no significant difference.). Orthostatic reactions during early mobilization were noted significantly more often in the EB group than in the RSB group (n=10, 21.7%; n=1, 3.2%, respectively; OR 8.333, 95% CI 1.008–66.667, p=0.042). The appearance of the first stool was more common in the EB group (3 [2–4] days vs. 4 [3–5] days in the RSB group, p=0.027). No statistically significant difference was found between the groups in the development of infectious complications (p=1.000), gastrostasis (p=0.144), in-hospital mortality rate (p=0.460), ICU days (p=0.305), and lengths of stay (p=0.776).
CONCLUSION: The data obtained in the study show the comparability of the use of analgesia methods, such as EB and RSB in patients who underwent pancreatic surgery.
作者简介
Beka Ezugbaia
Ilinskaya Hospital
编辑信件的主要联系方式.
Email: ezugbaia.b.s@gmail.com
ORCID iD: 0000-0002-0271-4643
SPIN 代码: 1713-7653
Scopus 作者 ID: 57297138300
MD, Cand. Sci. (Med.)
俄罗斯联邦, MoscowSergey Fedorov
Ilinskaya Hospital
Email: s.fedorov@ihospital.ru
ORCID iD: 0000-0001-8214-9826
MD, Cand. Sci. (Med.), head of department
俄罗斯联邦, MoscowVaagn Avetisian
Ilinskaya Hospital
Email: vaagnavetisian@gmail.com
ORCID iD: 0000-0001-6555-7369
anesthesiologist-resuscitator
俄罗斯联邦, MoscowEkaterina Nikitenko
Ilinskaya Hospital
Email: e.nikitenko@ihospital.ru
ORCID iD: 0000-0003-3663-6134
anesthesiologist-resuscitator
俄罗斯联邦, MoscowVadim Sizov
University Hospital Ayr
Email: Sizov1vadim@gmail.com
ORCID iD: 0000-0001-5585-6971
SPIN 代码: 2900-9674
MD, Cand. Sci. (Med.), DESAIC, anesthesiologist
英国, ScotlandSergey Kamnev
Ilinskaya Hospital
Email: korium1605@gmail.com
ORCID iD: 0000-0002-4230-4796
anesthesiologist-resuscitator
俄罗斯联邦, MoscowViktor Koriachkin
Saint-Petersburg State Pediatric Medical University
Email: vakoryachkin@mail.ru
ORCID iD: 0000-0002-3400-8989
SPIN 代码: 6101-0578
MD, Dr. Sci. (Med.), professor
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