RESUMO
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.
Assuntos
Cavidade Abdominal/cirurgia , Analgesia/métodos , Analgésicos Opioides/uso terapêutico , Dor Pós-Operatória/prevenção & controle , Promedol/uso terapêutico , Analgésicos Opioides/administração & dosagem , Analgésicos Opioides/efeitos adversos , Proteína C-Reativa/análise , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Humanos , Pessoa de Meia-Idade , Medição da Dor , Promedol/administração & dosagem , Promedol/efeitos adversos , Estudos Prospectivos , Fatores de Tempo , Resultado do TratamentoAssuntos
Anestesia/métodos , Anti-Inflamatórios não Esteroides/efeitos adversos , Anti-Inflamatórios não Esteroides/classificação , Inibidores de Ciclo-Oxigenase/efeitos adversos , Inibidores de Ciclo-Oxigenase/classificação , Cuidados Intraoperatórios , Dor/tratamento farmacológico , Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Anti-Inflamatórios não Esteroides/uso terapêutico , Inibidores de Ciclo-Oxigenase/uso terapêutico , Humanos , Tromboembolia/induzido quimicamenteRESUMO
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.
Assuntos
Analgésicos não Narcóticos/uso terapêutico , Colecistectomia/métodos , Cuidados Pós-Operatórios , Tiazinas/uso terapêutico , Tiazóis/uso terapêutico , Adulto , Idoso , Feminino , Humanos , Meloxicam , Pessoa de Meia-IdadeRESUMO
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.
