Zalecenia postępowania w bólu pooperacyjnym — 2014

Misiołek, Hanna; Cettler, Maciej; Woroń, Jarosław; Wordliczek, Jerzy; Dobrogowski, Jan; Mayzner-Zawadzka, Ewa

doi:10.5603/ait.2014.0041

Cited by 72 publications

(64 citation statements)

References 43 publications

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“…One cannot ignore the possibility of using Tramadol, which, in many cases of post-operative pain therapy after laparotomy, is more positive than morphine because, for example, there is less risk of pruritus and of respiratory depression [20]. Regional anesthesia used with non-opioid analgesics aims to reduce the total dose of opioids taken by patients during both the intra-and post-operative periods, which is the main point of multimodal analgesia [8].…”

Section: Discussionmentioning

confidence: 99%

“…Intravenous administration of opioids is recommenced, using the Patient Controlled Analgesia method (PCA) [4,8]. In the opinion of numerous authors, the most effective and longest-lasting analgesic (11-24 hours) in the postoperative period among patients after a C-section, is exhibited by morphine used as a component of spinal anesthesia [17,18].…”

Section: Discussionmentioning

confidence: 99%

“…Over the next 48 hours, all patients received 1 g of paracetamol iv at constant intervals of time (every 6 hours) and 5 mg of morphine subcutaneously depending on their intensity of pain (NRS > 3), or, on demand with the proviso of a 4-hour administration frequency. Next, the the level of pain intensity was evaluated, only in rest among the newly delivered mothers (using NRS scale 0-10 in which 0 = no pain and 10 = worst pain imaginable) and consecutively after 2,4,8,12,16,20,24,30,36, 42 and 48 hours. At every postoperative time-point the following parameters were measured: sedation (Ramsey scale); nausea, vomiting and itching (0 = none, 1 = mild, 2 = moderate, 3 = severe); the possibility of the free movement of limbs or any other possible side effects.…”

Section: Interventionsmentioning

confidence: 99%

“…journals.viamedica.pl/ginekologia_polska and it poses one of the risk factors for chronic pain in the abdomen, and pelvis [6]. To achieve effective analgesia, a multimodal strategy should be used with simultaneously administered painkillers from all three levels of the analgesic ladder in conjunction with specialized peripheral nerve block techniques and with either continuous epidural or spinal anesthesia [7,8]. For several years now, one can notice a real renaissance in regional anesthesia of the anterolateral abdominal wall after a C-section, mainly due to the introduction of ultrasonography (USG) during nerve block procedures [9].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the effectiveness of the Quadratus Lumborum Block type I using ropivacaine in postoperative analgesia after a cesarean section — a controlled clinical study

et al. 2018

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Objectives: Quadratus Lumborum Block in contrast to Transversus Abdominis Plane Block contains a unique component which not only stops somatic pain but also inhibits visceral pain by spreading the local anesthetic to the paravertebral space. This study was designed to determine whether performing the Quadratus Lumborum Block type I in patients undergoing cesarean section would be associated with both decreased morphine consumption and decreased pain levels in the postoperative 48-hour period. Material and methods:Sixty patients undergoing caesarean section under spinal anesthesia were randomly and equally assigned to one or other of two groups: QLB I (who received Bilateral Quadratus Lumborum Block type I with the use of 24 mL 0.375% ropivacaine per side) or a Control group. In both groups, on-demand morphine analgesia was administered postoperatively within the first 48 hours. The following were measured: the morphine consumption; the time elapsed from the C-section until the first dose of morphine; and the levels of pain intensity among patients in rest (numeral pain rating scale).Results: There were no statistically significant demographic data differences between the QLB I and Control groups. The following significant differences were observed in the 48-hour postoperative period: morphine consumption was higher in the Control group (p = 0.000); the time elapsed from the C-section until the first dose of morphine was longer in QLB I group (p < 0.05); and the median of the pain numeric rating scale was higher in the Control group (p < 0.05). Conclusions:Quadratus Lumborum Block type I significantly reduces morphine consumption and pain levels up to 48 hours postoperatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of the effectiveness of the Quadratus Lumborum Block type I using ropivacaine in postoperative analgesia after a cesarean section — a controlled clinical study

et al. 2018

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“…The guidelines published in 2014 recommend epidural analgesia as a method for treating postoperative pain after procedures involving extensive tissue trauma. Moreover, the guidelines highlight pre-emptive analgesia to modify nociception and multimodal analgesia, which is beneficial for both pain relief and reducing the doses of individual drugs and hence reducing the risks of adverse side effects [24]. Postoperative pain management also includes techniques involving local anaesthetics (LAs), such as injections of LAs into the region of the surgical wound, and transversus abdominis plane (TAP) block.…”

Section: Epidural Anaesthesia and Pain Managementmentioning

confidence: 99%

Anaesthetic perioperative management according to the ERAS protocol

Horosz¹,

Nawrocka²,

Malec-Milewska³

2016

Anaesthesiol Intensive Ther

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After many years of experience in surgery, a series of recommendations have been created by a group of European specialists to improve the quality of perioperative care and maximize postoperative outcomes. Early mobilization and oral feeding, preoperative oral intake of carbohydrate-rich fluids, proper fluid and pain management, intensive postoperative nausea and vomiting prophylaxis, and antimicrobial and thromboembolism prophylaxis are the interventions that may decrease surgery-induced metabolic stress and facilitate the return of bowel function and early discharge. The Enhanced Recovery After Surgery (ERAS) Society is the group that focuses on these perioperative issues. This paper aims to summarize the role of anaesthesiologists in the implementation of the ERAS protocol.

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Preoperative Evaluation and Investigations for Maxillofacial Surgery

Krishnan

Parida

2021

Oral and Maxillofacial Surgery for the Clinician

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Patients undergoing oral and maxillofacial surgeries have unique perioperative considerations as the surgical field is in proximity to the airway and poses a challenge to the anesthesiologist in the matter of airway management. A well-structured preoperative evaluation plays a decisive role for the successful performance of the planned surgical intervention, as well as to overcome any challenges posed due to the pre-existing health condition of the patient. Each physiologic system can be adversely affected by associated comorbidities that may or may not have clinical importance for the surgeons. Thus, the effects of coexisting diseases on the cardiovascular, respiratory, gastrointestinal, renal, and endocrine systems may be significant. Moreover, to mitigate risks related to these associated comorbidities, as well as to the impact of surgery/anesthesia on the patient, specific risk reduction strategies for the entire perioperative period need to be implemented. Risk management and optimization strategies involve the rational use of adjunctive laboratory and imaging studies and professional opinions of consultants of other specialties. A team approach is critical in establishing a working framework of perioperative management that would be able to keep morbidity and mortality related to the maxillofacial surgery, to an absolute minimum.

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Zalecenia postępowania w bólu pooperacyjnym — 2014

Cited by 72 publications

References 43 publications

Evaluation of the effectiveness of the Quadratus Lumborum Block type I using ropivacaine in postoperative analgesia after a cesarean section — a controlled clinical study

Evaluation of the effectiveness of the Quadratus Lumborum Block type I using ropivacaine in postoperative analgesia after a cesarean section — a controlled clinical study

Anaesthetic perioperative management according to the ERAS protocol

Preoperative Evaluation and Investigations for Maxillofacial Surgery

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