RESUMEN
Efficacy of systemic application of opiates (promedol) for the pain relief after big open abdominal operations, using visual-analogue scale (VAS), was estimated in 50 patients. During 36-48 h postoperatively analgesia was inadequate (VAS in a rest state more than 3 points and while movement--more than 4 points). Intensive pain (VAS 6 points and more) was noted in 58% of patients, while they are moving, and in 26%--in a rest state. Inadequate anesthesia may constitute one of causes of excessive systemic inflammatory reaction development in patients postoperatively.
Asunto(s)
Cavidad Abdominal/cirugía , Analgesia/métodos , Analgésicos Opioides/uso terapéutico , Dolor Postoperatorio/prevención & control , Promedol/uso terapéutico , Analgésicos Opioides/administración & dosificación , Analgésicos Opioides/efectos adversos , Proteína C-Reactiva/análisis , Procedimientos Quirúrgicos del Sistema Digestivo/métodos , Humanos , Persona de Mediana Edad , Dimensión del Dolor , Promedol/administración & dosificación , Promedol/efectos adversos , Estudios Prospectivos , Factores de Tiempo , Resultado del TratamientoAsunto(s)
Anestesia/métodos , Antiinflamatorios no Esteroideos/efectos adversos , Antiinflamatorios no Esteroideos/clasificación , Inhibidores de la Ciclooxigenasa/efectos adversos , Inhibidores de la Ciclooxigenasa/clasificación , Cuidados Intraoperatorios , Dolor/tratamiento farmacológico , Cuidados Posoperatorios , Cuidados Preoperatorios , Antiinflamatorios no Esteroideos/uso terapéutico , Inhibidores de la Ciclooxigenasa/uso terapéutico , Humanos , Tromboembolia/inducido químicamenteRESUMEN
Movalis, included in complex of perioperative anesthesy, efficacy was studied in 30 patients after elective cholecystectomy. Complex assessment of analgetic action of the preparation, taking into account the influence of nociceptive processes, basing on investigation of electric cutaneous threshold in various regimens of stimulation in the dermatome incision, was conducted. It was established that under the influence of Movalis the spontaneous and induced pain intensity is lowering due to its action on the processes of primary and secondary hyperalgesia. Movalis promotes the anesthesy efficacy raising after conduction of cholecystectomy.
Asunto(s)
Analgésicos no Narcóticos/uso terapéutico , Colecistectomía/métodos , Cuidados Posoperatorios , Tiazinas/uso terapéutico , Tiazoles/uso terapéutico , Adulto , Anciano , Femenino , Humanos , Meloxicam , Persona de Mediana EdadRESUMEN
In 24 patients there was studied up the preparation Nospa-forte efficacy in renal colic occurrence due to presence of calculus in ureter, basing on analysis of the pain syndrome dynamic, the heart rhythm changes, the central and systemic hemodynamics indexes, renal function and urinanalysis. There was established efficacy of the preparation in the pain syndrome removal, the blood circulation hyperdynamics reduction, the vegetative nervous system state optimization and the heart rhythm stabilization. It is expedient to use Nospa-forte in the treatment of various visceral pain.