SPINAL ANESTHESIA AS A PART OF ANAESTHESIOLOGIC SUPPORT IN FAST TRACK LAPAROSCOPIC COLON SURGERIES
https://doi.org/10.21292/2078-5658-2018-15-2-21-24
Abstract
The objective: to assess the efficiency of spinal analgesia as a part of anaesthesiologic support in laparoscopic colon surgeries within fast track programs.
Subjects and methods: 60 patients who had laparoscopic colon surgeries within fast track programs were divided into 2 groups. In Group 1 (n = 30), peri-operative analgesia was provided through intrathecal administration of 10.0–12.5 mg of bupivacaine and 200 mcg of morphine. In Group 2 (n = 30), the systemic multi-modal analgesia was provided (nonsteroidal anti-inflammatory drugs, opioids).
Results. The maximum intensity of pain at rest within 24 hours after surgery was assessed as 2 (2−3) scores as per the digital rating scale in Group 1 and 5 (4−6) scores in Group 2 (p < 0.0001). The intensity of pain by the first verticalisation made 3 (2−5) scores in Group 1 and 6 (6−7) scores in Group 2 (p < 0.0001). Intra-operative consumption of phentanyl, frequency of post-operative nausea, vomit and need for extra pain relief were much lower in Group 1.
Conclusion. Intrathecal administration of 10.0−12.5 mg of bupivacaine and 200 mcg of morphine as a part of anaesthesiologic support in laparoscopic colon surgeries provides effective peri-operative analgesia and promotes the implementation of fast track programs in this type of interventions.
About the Authors
A. L. Potаpov
A.F. Tsyba Medical Radiological Research Center, Branch of National Medical Research Radiology Center
Russian Federation
Russian Federation
Aleksandr L. Potapov – Doctor of Medical Sciences, Professor, Head of Anesthesiology and Intensive Care Department
4, Koroleva St., Obninsk, Kaluzhskaya Region, 249036
D. V. Zemskovа
A.F. Tsyba Medical Radiological Research Center, Branch of National Medical Research Radiology Center
Russian Federation
Russian Federation
Darya V. Zemskova – Anesthesiologist and Emergency Physician
4, Koroleva St., Obninsk, Kaluzhskaya Region, 249036
I. P. Kostyuk
A.F. Tsyba Medical Radiological Research Center, Branch of National Medical Research Radiology Center
Russian Federation
Russian Federation
Igor P. Kostyuk Doctor of Medical Sciences, Deputy Director for Surgery
4, Koroleva St., Obninsk, Kaluzhskaya Region, 249036
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Review
For citations:
Potаpov A.L., Zemskovа D.V., Kostyuk I.P. SPINAL ANESTHESIA AS A PART OF ANAESTHESIOLOGIC SUPPORT IN FAST TRACK LAPAROSCOPIC COLON SURGERIES. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2018;15(2):21-24. (In Russ.) https://doi.org/10.21292/2078-5658-2018-15-2-21-24
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