EVALUATION OF EFFICACY AND SAFETY POSTOPERATIVE PAIN MANAGEMENT BY INTRAMUSCULAR ANALGESIA AFTER DIFFERENT TYPES OF ANAESTHESIA: PILOT CLINICAL PROSPECTIVE STUDY

Efficacy Safety Score (ESS) with "call-out algorithm" developed in Kongsberg hospital, Norway was used for the validation. ESS consists of the mathematical sum ofscorefrom: 2 subjective (Visual Analog Scale: VAS at rest and during mobilization) and 4 vital (conscious levels, PONV circulati...

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Bibliographic Details
Published inAnesteziologiia i reanimatologiia Vol. 61; no. 6; p. 407
Main Authors Konkaev, A K, Eltaeva, A A, Zabolotskikh, I B, Musaeva, T S, Dibvik, L Z, Kuklin, V N
Format Journal Article
LanguageEnglish
Russian
Published Russia (Federation) 01.11.2016
Subjects
Adult
Analgesia - adverse effects
Analgesia - methods
Analgesics - administration & dosage
Analgesics - therapeutic use
Anesthesia, Conduction - methods
Anesthesia, Inhalation - methods
Female
Humans
Injections, Intramuscular
Male
Middle Aged
Pain Management - methods
Pain Measurement - drug effects
Pain, Postoperative - prevention & control
Pilot Projects
Prospective Studies
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Summary:Efficacy Safety Score (ESS) with "call-out algorithm" developed in Kongsberg hospital, Norway was used for the validation. ESS consists of the mathematical sum ofscorefrom: 2 subjective (Visual Analog Scale: VAS at rest and during mobilization) and 4 vital (conscious levels, PONV circulation and respiration status) parameters and ESS > 10 is a "call-out alarm "for visit ofpatient by anaesthesiologist. Hourly registration of ESS, mobility degree and amounts of analgetics during the first 8 hours after surgery was recorded in the specially designed IPad program. According to the type ofanaesthesia all patients were allocated in 4 groups: I spinal anaesthesia (SA), II general anesthesia (GA), III peripheral blockade (PB) and IV Total intravenous anaesthesia (TIVA). A total of 223 patients were included in the study. Statistically low levels of both VAS and ESS in the first 2-4 postoperative hours were found in SA and PB groups compared to GA and TIVA groups. During 8 post-operative hours, VAS> 3 was recorded in 10.5% of SA, 13.9% in GA, 12.8% in PG and 23.5% in TIVA patients. Intramuscular postoperative analgesia was effective in SA, GA and PG groups. More attention of anaesthesiologist must be paid to patients ofter TIVA.
ISSN:0201-7563