Email this article 
Post a Comment Role of pterygopalatine blockade in the early rehabilitation program of children after congenital cataract surgery
- Authors: Shchuko A.G.1,2, Iureva T.N.1,3, Oleshchenko I.G.1
-
Affiliations:
- Irkutsk Branch of S. Fyodorov Eye Microsurgery Federal State Institution
- Irkutsk State Medical University
- Irkutsk State Medical Academy of Continuing Education
- Issue: Vol 10, No 4 (2017)
- Pages: 18-23
- Section: Articles
- URL: https://journals.rcsi.science/ov/article/view/7784
- DOI: https://doi.org/10.17816/OV10418-23
- ID: 7784
Cite item
Full Text
Abstract
Nowadays, the surgical treatment of congenital cataract is a “small-incisions” surgery (aspiration, in some cases — ultrasound phacoemulsification). It corresponds to the Fast Track surgery principles, and as a quick recovery technology it requires optimization of pain control in the early postoperative period.
Purpose. To estimate the efficiency of the pterygopalatine block as a component of an optimized Fast Track protocol in children after congenital cataract surgery.
Materials and methods. 54 children operated for congenital cataract were included in the study. All patients were divided into 2 groups. In the first group (n = 26), a regional component of combined anesthesia on sevoflurane basis was carried out in combination with a pterygopalatine block; in the second group (n = 28), there was an implementation of a retrobulbar block. The efficiency of the methods was evaluated by a comparative analysis of hemodynamic parameters, the index of the vegetative system tension, the assessment of pain intensity by a verbal rating scale, as well as by the severity of ocular inflammatory reactions.
Results. Obtained data show that the pterygopalatine ganglion block as a component of a combined anesthesia in congenital cataract surgery allows providing adequate anesthesia, creating prolonged pain control, reducing the inflammatory reaction in postoperative period during the first 24 hours.
Conclusion. On the basis of our analysis, the possibility of a safe implementation of optimized (Fast-Track) protocol was proven.
Full Text
##article.viewOnOriginalSite##About the authors
Andrey G. Shchuko
Irkutsk Branch of S. Fyodorov Eye Microsurgery Federal State Institution; Irkutsk State Medical University
Author for correspondence.
Email: kripak_mntk@mail.ru
DM, Professor, honored MD of Russian Federation, Branch manager
Russian Federation, Irkutsk; IrkutskTatiana N. Iureva
Irkutsk Branch of S. Fyodorov Eye Microsurgery Federal State Institution; Irkutsk State Medical Academy of Continuing Education
Email: tnyurieva@mail.ru
MD, Professor, Deputy Director for research
Russian Federation, Irkutsk; IrkutskIrina G. Oleshchenko
Irkutsk Branch of S. Fyodorov Eye Microsurgery Federal State Institution
Email: iga.oleshenko@mail.ru
anesthesiologist-resuscitator
Russian Federation, IrkutskReferences
- Азолов В.В., Максимов Г.А., Акулов И.С. Регионарная анестезия и микроциркуляция при реконструктивных операциях на кисти // VI Всерос. съезд анестезиологов и реаниматологов: тезисы докладов. – М., 1988. – С. 53. [Azolov VV, Maximov GA, Akulov IS. Regional anesthesia and microcirculation in reconstructive surgery on wrist. In: VI All-Russian Meeting of Anesthesiologists and Resuscitation Specialist: Reports Thesis (Conference proceedings). Moscow; 1988. P. 53. (In Russ.)]
- Айзенберг В.Л., Ульрих Г.Э., Цыпин Л.Е., Заболотский Д.В. Регионарная анестезия в педиатрии // Регионарная анестезия и лечение острой боли. – 2016. – Т. 8. – № 4. – С. 41–49. [Aizenberg VL, Ul’rikh GE, Tsypin LE, Zabolotskiy DV. Regional anesthesia in pediatrics. Regionarnaya anesteziya i lechenie ostroy boli. 2014;8(4):41-49. (In Russ.)]
- Боброва Н.Ф. Имплантация складывающихся ИОЛ AcrySof у детей / VII съезд офтальмологов России: тез. докл. – М., 2000. – Ч. 2. – С. 335–336. [Bobrova NF. Implantation of folding IOL AcrySof in children. VII s»yezd oftal’mologov Rossii (Conference proceedings). Мoscow; 2000. P. 335-336. (In Russ.)]
- Насонов Е.Л., Насонова В.А. Фармакотерапия боли: взгляд ревматолога // Consilium Medicum. – 2000. – Т. 2. – № 12. – С. 509–514. [Nasonov YeL, Nasonova VA. Pharmacotherapy of pain: a look of a rheumatologist. Consilium Medicum. 2000;2(12):509-514. (In Russ.)]
- Grigoraş I. Fast-trach surgery – a new concept – the perioperative anesthetic management. Jurnalul de Chirurgie, Iasi. 2007;3(2):89-91.
- Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. 2008;248:189-198. doi: 10.1097/SLA.0b013e31817f2c1a.
- Molmenti EP, Ziambaras Т, Perlmutter DH. Evidence for an acute phase response in human intestinal epithelial cells. J Biol Chem. 1993;268:14116-14124.
Supplementary files
