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Makarov S.A.

Kafedra fakul'tetskoĭ khirurgii SPb GMU im. akad. I.P. Pavlova MZSR RF;
Gorodskoĭ Tsentr sovremennykh khirurgicheskikh tekhnologiĭ 31-ĭ klinicheskoĭ bol'nitsy, Sankt-Peterburg

Mikaelian K.P.

B.V. Petrovsky Russian Research Center of Surgery, Moscow

Goncharova A.V.

Petrovsky National Research Centre of Surgery, 119991, Abrikosovsky, 2, Moscow, Russia

Pogosyan E.L.

Petrovsky National Research Centre for Surgery, Moscow, Russia

Perioperative infiltration of the wound with ropivacaine in lumbar spine surgery

Authors:

Makarov S.A., Mikaelian K.P., Goncharova A.V., Pogosyan E.L.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2020;(2): 60‑64

DOI: 10.17116/anaesthesiology202002160

Views: 1134

Downloaded: 54

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To cite this article:

Makarov SA, Mikaelian KP, Goncharova AV, Pogosyan EL. Perioperative infiltration of the wound with ropivacaine in lumbar spine surgery. Russian Journal of Anesthesiology and Reanimatology. 2020;(2):60‑64. (In Russ.)
https://doi.org/10.17116/anaesthesiology202002160

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Objective. To analyze the effect of perioperative wound infiltration with a 0.2% solution of ropivacaine on postoperative pain and administration of opioid analgesics and NSAIDs in early postoperative period. Material and methods. There were 103 patients with degenerative lumbar spine diseases who underwent microdiscectomy with DIAM dynamic interspinous stabilization. Postoperative pain intensity was evaluated using VAS scoring system, analgesics consumption was assessed using WHO scheme. This approach ensured more objective result compared with isolated VAS score. Effectiveness criteria were VAS score of postoperative pain intensity in 1, 3, 6, 12, 24, 48 and 72 hours after surgery and WHO scheme score in 1, 3, 6, 12, 24, 48 and 72 hours after surgery. Results. Reduced consumption of opioid analgesics by 54.4% was observed in the main group. Conclusion. The proposed technique results a significant decrease of opioid analgesics consumption in combination with reduced pain syndrome in patients with initial chronic pain syndrome after lumbar spine surgery. This approach may be recommended in all patients. It is especially relevant for people with various contraindications for NSAIDs and opioid analgesics intake (erosive and ulcerative diseases of the gastrointestinal tract, impaired liver and kidney function, advanced age patients).

Keywords:

postoperative pain
WHO scale
analgesia
ropivacaine
local anesthetics
spinal disc herniation
microdiscectomy
dynamic implants
DIAM

Authors:

Makarov S.A.

Kafedra fakul'tetskoĭ khirurgii SPb GMU im. akad. I.P. Pavlova MZSR RF;
Gorodskoĭ Tsentr sovremennykh khirurgicheskikh tekhnologiĭ 31-ĭ klinicheskoĭ bol'nitsy, Sankt-Peterburg

Mikaelian K.P.

B.V. Petrovsky Russian Research Center of Surgery, Moscow

Goncharova A.V.

Petrovsky National Research Centre of Surgery, 119991, Abrikosovsky, 2, Moscow, Russia

Pogosyan E.L.

Petrovsky National Research Centre for Surgery, Moscow, Russia

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