Methods of local anesthesia in postoperative anesthesia of oncosurgical operations on the nasopharynx in children
- 作者: Korobova L.S.1, Matinyan N.V.1,2, Merkulov O.A.1, Korolev V.A.1, Lazarev V.V.2, Ovchar T.A.3, Akimov V.P.1, Kovaleva E.A.1
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隶属关系:
- Blokhin Scientific Research Institute of Pediatric Oncology and Hematology
- Pirogov Russian National Research Medical University
- Morozov Children’s Hospital
- 期: 卷 12, 编号 4 (2022)
- 页面: 453-460
- 栏目: Original Study Articles
- URL: https://journals.rcsi.science/2219-4061/article/view/233293
- DOI: https://doi.org/10.17816/psaic1276
- ID: 233293
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BACKGROUND: Postoperative analgesia should begin even in the operating room, so that at the time of awakening the patient does not experience pain and discomfort. The work is devoted to the problems of postoperative analgesia using local anesthesia techniques in oncosurgery of the nasopharynx in children.
AIM: The aim of the study to analyze the primary results of the use of local anesthesia methods in postoperative analgesia in pediatric oncosurgery of the nasopharynx.
MATERIALS AND METHODS: A study was conducted in the immediate postoperative period (16 hours) in ten patients, whose average age was 14 years with ENT surgical pathology. The physical status of the children corresponded to the I–II class according to the ASA classification. The patients were divided into two equal groups of 5 people: the 1st group included children who, for the purpose of postoperative analgesia at the end of the surgical intervention, underwent conduction anesthesia of the nose from three points according to Weisblat; the 2nd group (comparison group) is represented by patients in whom infraorbital anesthesia was used after surgery. Non-invasive monitoring of systolic and diastolic blood pressure, heart rate was carried out. The oxygen status was monitored by pulse oximetry.
RESULTS: The data obtained from the analysis of hemodynamic parameters, pain assessment by VAS (Visual Analog Scale) testified to the effectiveness of pain relief in patients in the study groups. The main hemodynamic parameters and pain assessment data for the groups were similar to each other and were within the reference values. There were differences in the duration of postoperative analgesia.
CONCLUSIONS: The proposed methods of postoperative analgesia make it possible to abandon the use of narcotic drugs, synthetic opioid analgesics, non-steroidal anti-inflammatory drugs, but not excluding analgesics — antipyretics. The positive first results of this study provide for the need for a further set of observations, possibly in different clinics due to the relative rarity of oncological pathology of the nasopharynx in childhood.
作者简介
Lyudmila Korobova
Blokhin Scientific Research Institute of Pediatric Oncology and Hematology
编辑信件的主要联系方式.
Email: lydmil@bk.ru
ORCID iD: 0000-0003-3047-412X
SPIN 代码: 6197-8273
Cand. Sci. (Med.), Anesthesiologist-Intensivist
俄罗斯联邦, 24, Kashirskoye highway, Moscow, 115478Nune Matinyan
Blokhin Scientific Research Institute of Pediatric Oncology and Hematology; Pirogov Russian National Research Medical University
Email: n9031990633@yandex.ru
ORCID iD: 0000-0001-7805-5616
SPIN 代码: 9829-6657
Dr. Sci. (Med.), Professor
俄罗斯联邦, Moscow; MoscowOleg Merkulov
Blokhin Scientific Research Institute of Pediatric Oncology and Hematology
Email: 9166718244@mail.ru
ORCID iD: 0000-0002-8533-0724
SPIN 代码: 1492-1083
Scopus 作者 ID: 382666
Dr. Sci. (Med.)
俄罗斯联邦, MoscowVladimir Korolev
Blokhin Scientific Research Institute of Pediatric Oncology and Hematology
Email: korolev4@yandex.ru
ORCID iD: 0000-0003-1079-7589
SPIN 代码: 9953-6402
Cand. Sci. (Med.)
俄罗斯联邦, MoscowVladimir Lazarev
Pirogov Russian National Research Medical University
Email: lazarev_vv@inbox.ru
ORCID iD: 0000-0001-8417-3555
SPIN 代码: 4414-0677
Researcher ID: P-6234-2015
Dr. Sci. (Med.), Professor
俄罗斯联邦, MoscowTatiana Ovchar
Morozov Children’s Hospital
Email: Shadum@yandex.ru
ORCID iD: 0000-0001-5764-4016
SPIN 代码: 8387-5141
Anesthesiologist-Intensivist, Neonatologist
俄罗斯联邦, MoscowVasily Akimov
Blokhin Scientific Research Institute of Pediatric Oncology and Hematology
Email: akimovvp87@gmail.com
ORCID iD: 0000-0002-2064-1716
SPIN 代码: 5603-4790
Anesthesiologist-Intensivist
俄罗斯联邦, MoscowEkaterina Kovaleva
Blokhin Scientific Research Institute of Pediatric Oncology and Hematology
Email: mel_amory@mail.ru
ORCID iD: 0000-0001-9492-034X
SPIN 代码: 7122-7508
Anesthesiologist-Intensivist
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