Efficiency of multimodal anаlgesia in orthopedics and traumatology

Oleksii Kalashnykov; Yurii Stavynskyi; Kostiantyn Vdovichenko; Andrii Kalashnykov

doi:10.31636/pmjua.v4i3.3

Автор(и)

Oleksii Kalashnykov SI “The Institute of Traumatology and Orthopedics” of NAMS of Ukraine, Kyiv, Ukraine
Yurii Stavynskyi SI “The Institute of Traumatology and Orthopedics” of NAMS of Ukraine, Kyiv, Ukraine
Kostiantyn Vdovichenko SI “The Institute of Traumatology and Orthopedics” of NAMS of Ukraine, Kyiv, Ukraine
Andrii Kalashnykov SI “The Institute of Traumatology and Orthopedics” of NAMS of Ukraine, Kyiv, Ukraine

DOI:

https://doi.org/10.31636/pmjua.v4i3.3

Ключові слова:

мультимодальна аналгезія, ефективність, оперативні втручання, ортопедично-травматологічна патологія

Анотація

A clinical study was conducted with 200 patients who underwent total endoprosthetics of the hip and knee joints and also metallic osteosynthesis of long bones of lower extremities in the conditions of an orthopedic and trauma hospital. All patients were divided into 2 subgroups (each 100 patients) where in the study group the anesthesia was carried out according to the multimodal analgesia technique (using domestic drugs “Infulgan”, intraoperatively in the surgical wound – “Longocain” and “Nalbufin”), in the control group anesthesia was carried out according to the traditional method.

Evaluation of the effectiveness of postoperative analgesia was carried out according to VAS pain scale on days 2, 7, 14, and 30 after surgery. The study convincingly proves the effectiveness of the appointment of multimodal analgesia in the postoperative period in orthopedics and traumatology patients. All this allowed for early postoperative rehabilitation of patients and provided a good functional result in all operated patients. Multimodal analgesia is a modern method of postoperative analgesia in the surgical treatment of patients after injuries and diseases of the musculoskeletal system and requires a wider use in practice of orthopedic traumatologists in Ukraine.

Завантаження

Дані завантаження ще не доступні.

Посилання

Duplenko YK. Starenie. Ocherki razvitiya problemy (Aging. Essays on the development of the problem). Leningrad: Nauka; 1985 (In Russian).

Lapach SN. Statisticheskie metody v biologicheskih issledovaniyah s ispolzovaniem Excel (Statistical methods in biological research using Excel). Kiev: Morion; 2000. (In Russian)

Mincer OP. Informacijni tehnologiyi v ohoroni zdorov’ya i praktichnij medicini (Information technology for health and practical medicine). vol. 5. Kiev: Visha Shkola; 2003. (In Russian)

Ovechkin AM. Posleoperacionnaya bol: sostoyanie problemy i sovremennye tendencii posleoperacionnogo obezbolivaniya (Postoperative pain: state of the problem and current trends in postoperative pain management). Regionarnaya Anesteziya i Lechenie Ostroj Boli 2015;9:29–39. (In Russian)

Mller ME, Bandi W, Bloch HR, Allgwer M, et al. Technique of Internal Fixation of Fractures. Berlin: Springer Berlin; 2014.

Rushaj AK. Sovremennye principy i vozmozhnosti obezbolivaniya v travmatologii i ortopedii (Modern principles and possibilities of anesthesia in traumatology and orthopedics). Travma 2012;13:45–8.

Carr DB, Goudas LC. Acute pain. The Lancet [Internet]. Elsevier BV; 1999 Jun;353(9169):2051–8. Available from: https://doi.org/10.1016/s0140–6736(99)03313–9

Dolin SJ, Cashman JN, Bland JM. Effectiveness of acute postoperative pain management: I. Evidence from published data. British Journal of Anaesthesia [Internet]. Elsevier BV; 2002 Sep;89(3):409–23. Available from: https://doi.org/10.1093/bja/89.3.409

Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF. Arthritis Care & Research [Internet]. Wiley; 2011 Nov;63(S11):S240–S252. Available from: https://doi.org/10.1002/acr.20543

Polomano RC, Fillman M, Giordano NA, Vallerand AH, Nicely KLW, Jungquist CR. Multimodal Analgesia for Acute Postoperative and Trauma-Related Pain. AJN, American Journal of Nursing [Internet]. Ovid Technologies (Wolters Kluwer Health); 2017 Mar;117:S12–S26. Available from: https://doi.org/10.1097/01.naj.0000513527.71934.73

Neugebauer E, Hempel K, Sauerland S, Lempa M, Koch G. Situation der perioperativen Schmerztherapie in Deutschland Ergebnisse einer repräsentativen, anonymen Umfrage von 1000 chirurgischen Kliniken. Der Chirurg [Internet]. Springer Science and Business Media LLC; 1998 Apr;69(4):461–6. Available from: https://doi.org/10.1007/s001040050439

Gerbershagen HJ, Aduckathil S, van Wijck AJM, Peelen LM, Kalkman CJ, Meissner W. Pain Intensity on the First Day after Surgery. Anesthesiology [Internet]. Ovid Technologies (Wolters Kluwer Health); 2013 Apr;118(4):934–44. Available from: https://doi.org/10.1097/aln.0b013e31828866b3

Polomano RC, Dunwoody CJ, Krenzischek DA, Rathmell JP. Perspective on Pain Management in the 21st Century. Pain Management Nursing [Internet]. Elsevier BV; 2008 Mar;9(1):3–10. Available from: https://doi.org/10.1016/j.pmn.2007.11.002

Rodgers A. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised. BMJ [Internet]. BMJ; 2000 Dec 16;321(7275):1493–1493. Available from: https://doi.org/10.1136/bmj.321.7275.1493