[Non-opioid multimodal anesthesia in the surgical treatment of colorectal cancer]
- PMID: 31502594
- DOI: 10.17116/hirurgia201908254
[Non-opioid multimodal anesthesia in the surgical treatment of colorectal cancer]
Abstract
This article deal with method of multimodal, opioid-free anesthesia for colorectal surgery in the perioperative period.
Aim: To improve the quality of treatment for patients with colorectal cancer using non-opioid anesthesia and analgesia in the perioperative period.
Material and methods: The study included 47 patients who underwent laparoscopic colon surgery. This anesthesia method consists of epidural anesthesia with sevoflurane during surgery end epidural analgesia after surgery. We describe the method of non-opioid anesthesia technics during colorectal surgery. The pain syndrome was evaluated at various time intervals. Harvard standard for monitoring during anesthesia is presented.
Results: Opioid-free anesthesia is safety method for colorectal surgery. It was also possible to reduce the incidence of postoperative nausea and vomiting, pain, intestinal paresis, the duration of hospitalization, and rise quality of medical care for patient with colorectal cancer.
В данном исследовании предложен метод мультимодального, опиат-фри анестезиологического пособия при колоректальной хирургии в периоперационном периоде. Материал и методы. В исследование включены 47 пациентов, которым были выполнены лапароскопические вмешательства на толстой кишке. У данных пациентов была применена методика анестезии на основе севофлурана в комбинации с эпидуральной аналгезией на всем периоперационном этапе. Подробно изложены суть и методика проведения опиат-фри анестезии при данных хирургических вмешательствах. Произведена оценка болевого синдрома в различных временных интервалах. Приведены данные гарвардского стандарта мониторинга во время анестезии. Результаты. При использовании данной методики анестезии пациенты не отмечали болевого синдрома выше 2 баллов по визуальной шкале оценки боли на протяжении всего периоперационного периода. Также удалось снизить частоту послеоперационной тошноты и рвоты, сроки госпитализации.
Keywords: colorectal cancer; non-opioid multimodal anestesia.
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