Multimodal analgesia as a method of removal of post–operation intra–abdominal hypertension in children
Keywords:
analgesia, intra–abdominal hypertension, resistance index
Abstract
The study involved 42 children who underwent surgery for bowel obstruction. Patients were divided into two groups. In the 1st group multimodal analgesia was applied and nonopioid analgesic was injected, in the 2nd group only continuous infusion of fentanyl was given. Multimodal analgesia decreased the negative consequences of inadequate analgesia in children, improved the analgetic effect after traumatic procedure, decreased intra–abdominal pressure, improved intestinal blood flow.
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2. Lisnyi II, Zakalska KhA, Bielka KYu. Otsinka efektyvnosti epiduralnoi anestezii ta analhezii z deksmedetomidynom pry khirurhichnykh vtruchanniakh v onkoproktolohii. Medytsyna Boliu. 2016;1(1):60–5. [In Ukrainian].
3. Lesnoy II, Chechelnitskiy OE, Emets VM. Neadekvatnyy epiduralnyy blok pri obezbolivanii rodov i vozmozhnosti ego preduprezhdeniya. Tam zhe. 2016;2(1):59–64. [In Russian].
4. Malbrain M, Jones F. Intra–abdominal pressure measurement techniques. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M, editors. Abdominal Compartment Syndrome. Georgetown: Landes Bioscience, 2006: 19–68.
5. Hopf H, Weitz J. Postoperative pain management. Arch Surg. 1994;129(2):128–132.
6. Malbrain ML, Chiumello D, Pelosi P, et al. Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: a multiple–center epidemiological study. Crit Care Med. 2005;33:315–22.
7. Zoric S, Stamenkovic D, Stevanovic S, et al. Combined spinal epidural and general anesthesia in abdominal surgery. Med Arh. 2003;57(4):21–8.
8. Maier C, Nestler N, Richter H. The quality of postoperative pain management in German hospitals. Dtsch Arstebl Int. 2010;107:607–14.
9. Chou R, Gordon D, de Leon–Casasola O, et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016;17(2):131–57.
10. Kopacz DJ, Allen HW, Thompson GE. A comparison of epidural levobupivacaine 0.75% with racemic bupivacaine for lower abdominal surgery. Anesth Analg. 2000;90:642–8.
Published
2017-09-07
How to Cite
Dmytriiev, D. V., Dmytriieva, K. Y., Semenenko, A. I., & Moravska, O. A. (2017). Multimodal analgesia as a method of removal of post–operation intra–abdominal hypertension in children. Klinicheskaia Khirurgiia, (8), 59-61. https://doi.org/10.26779/2522-1396.2017.08.59
Section
General Problems of Surgery
