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Novikova O.V.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Volchkov V.A.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Boyarkin A.A.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Petrov A.S.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Atyukov M.A.

St. Petersburg City Multi-Field Hospital No. 2

Shakh B.N.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Kovalev S.V.

St. Petersburg State University

Influence of postoperative analgesia option on acute and chronic pain syndrome after video-assisted thoracoscopic lobectomies

Authors:

Novikova O.V., Volchkov V.A., Boyarkin A.A., Petrov A.S., Atyukov M.A., Shakh B.N., Kovalev S.V.

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Journal: Russian Journal of Pain. 2023;21(4): 24‑30

DOI: 10.17116/pain20232104124

Views: 1018

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Table of contents

INFLUENCE OF POSTOPERATIVE ANALGESIA OPTION ON ACUTE AND CHRONIC PAIN SYNDROME AFTER VIDEO-ASSISTED THORACOSCOPIC LOBECTOMIES
INFLUENCE OF POSTOPERATIVE ANALGESIA OPTION ON ACUTE AND CHRONIC PAIN SYNDROME AFTER VIDEO-ASSISTED THORACOSCOPIC LOBECTOMIES

To cite this article:

Novikova OV, Volchkov VA, Boyarkin AA, Petrov AS, Atyukov MA, Shakh BN, Kovalev SV. Influence of postoperative analgesia option on acute and chronic pain syndrome after video-assisted thoracoscopic lobectomies. Russian Journal of Pain. 2023;21(4):24‑30. (In Russ.)
https://doi.org/10.17116/pain20232104124

Подписка 2025-2 (Russian Journal of Pain)
МСФ на ЯМ
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OBJECTIVE

To analyze the influence of postoperative analgesia option on acute and chronic pain syndrome after video-assisted thoracoscopic lobectomies.

MATERIAL AND METHODS

A prospective randomized study included 47 patients after video-assisted thoracoscopic lobectomy. Patients were divided into 3 groups depending on anesthetic approach: group 1 — prolonged paravertebral block (PVB); group 2 — intercostal block; group 3 — only systemic administration of narcotic and non-narcotic analgesics without regional analgesia. We analyzed VAS score of pain syndrome, doses of narcotic analgesics and incidence of complications in early postoperative period. After 6 months, we assessed pain intensity according to the numeric rating scale (NRS) and features of neuropathic pain according to the painDETECT questionnaire.

RESULTS

VAS scores on the first day after surgery were 5.5±0.5, 5.7±0.5 and 7.4±0.5 points, respectively (p=0.044). Doses of narcotic analgesics and morbidity were the highest in the 3rd group while minimal values were observed in the group with PVB. After 6 months, NRS scores were higher in the 3rd group compared to other groups (0.4±0.1 and 0.5±0.1 points, respectively, p=0.027).

CONCLUSION

Type of anesthesia affects pain intensity in early postoperative period and incidence of chronic pain after video-assisted thoracoscopic lobectomy.

Keywords:

video-assisted thoracoscopic lobectomy
acute pain syndrome
chronic pain syndrome
paravertebral block
intercostal block

Authors:

Novikova O.V.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Volchkov V.A.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Boyarkin A.A.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Petrov A.S.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Atyukov M.A.

St. Petersburg City Multi-Field Hospital No. 2

Shakh B.N.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Kovalev S.V.

St. Petersburg State University

Received:

21.06.2023

Accepted:

11.07.2023

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