Effect of Anesthesia on Postoperative Pain in Patients after Septoplasty

Abstract: The aim of the study was to assess acute pain syndrome in patients after septoplasty using different tactics of general anesthesia. All patients received local anesthesia with 2% procaine solution. In group 1 (95 patients), premedication with 2% promedol solution and 60 mg of ketorolac in the evening was used; group 2 (72 patients) was administered with fentanyl, propofol, cisatracuria besylate, tranexamic acid, atropine, and metoclopramide; and group 3 (89 patients) received atracuria besylate, sodium thiopental, nitrous oxide, and halothane. In groups 2 and 3, 100 mg of ketoprofen was administered intramuscularly in the evening on the day of surgery. Anterior tamponade was performed with parolon tampons in glove rubber. In groups 1 and 2, the tamponade was removed on day 2, and in group 3 it was removed 1 day after surgery. Pain syndrome was assessed on 1, 3, and 6 h and on days 1 and 2 after surgery. It was found that the scheme of anesthesia in group 2 is the most preferable, and the nasal tamponade must be removed on the 2nd day after the surgery. © 2022, Pleiades Publishing, Ltd

THE STRUCTURE OF ARRHYTHMIAS IN PATIENTS DURING RHINOLOGICAL SURGERY

In the present study, an attempt was made to study and evaluate the structure of cardiac arrhythmias in men and women using septoplasty under general anesthesia. Among all types of cardiac arrhythmias, premature atrial complexes and premature ventricular complexes extrasystoles (PAC and PVC) were most often found and were detected in all patients. Atrial tachycardias (AT) in men were significantly more likely to occur in the periods before surgery, during and after it, than in women. PACs at night was significantly more common in women. Ventricular arrhythmias (VA) were significantly more common in women than in men. Moreover, PVCs in women were detected significantly more often in all periods of observation. ATs and VAs in men were significantly more common after surgery. VAs in women were significantly more likely to occur before surgery than after it. Thus, the results of the study showed that of the considered cardiac arrhythmias during septoplasty under general anesthesia much more frequently in men and women at all stages of the survey found PVCs, and the women of their significantly higher than in men. Cardiac arrhythmias (PAC and PVC) predominated mainly in the postoperative period with the exception of PVCs in women, which was higher in the preoperative period. Reducing the number of arrhythmias observed during operation, possibly due to the impact of drugs for general anaesthesia

Photobiomodulation of acute pain syndrome after septoplasty [ФОТОбИОМОдУЛяЦИя ОСТРОГО бОЛЕВОГО СИНдРОМА ПОСЛЕ СЕПТОПЛАСТИКИ]

The paper evaluates the effectiveness of the use of therapeutic laser exposure (photobiomodulation therapy - PBMT) to minimize acute pain in the early postoperative period in patients after septoplasty. The study included two groups of patients. Patients of the first group (31 patients) underwent septoplasty with standard management in the postoperative period. Patients of the second group (31 patients) also underwent septoplasty, and then added PBMT to the standard measures of the postoperative period at 3, 6 and 24 h after septoplasty (λ = 0.890 μm, P = 10 W, 2 min) and then intranasally 48 h after septoplasty (λ = 0.630 μm, P = 8 W, 2 min). In patients of both groups, heart rate variability and pain were assessed using a visual analog scale within 48 hours after septoplasty. In patients of the second group, after the use of PBMT, the indicators of heart rate variability had a significantly lower total power, compared with patients of the first group. So, after PBMT, the ultra-low-frequency component of the spectral analysis of heart rate variability in the first group was 18580 ± 2067 ms2, which is significantly higher than in the second group (8086 ± 3003 ms2) (p <0.001). The low-frequency component of heart rate variability was also significantly higher in the first group (1871 ± 405 ms2) compared to the second (1095 ± 190 ms2) (p <0.005), which indicates an increase in the tension of the sympathetic part of the autonomic nervous system in the group without the use of PBMT. In the first 3 hours after surgery, the severity of pain between the groups did not differ significantly (p = 0.07). In the period from 6 to 24 hours after surgery, patients who did not undergo PBMT experienced significantly higher pain than patients with PBMT (p <0.001). Thus, in our study, the group of patients with PBMT showed better results in pain and heart rate variability compared to the classical rehabilitation of patients after septoplasty. © 2021 Russian Photodynamic Association. All rights reserved

ASSESSMENT OF THE EFFECT OF ANESTHESIA METHODS ON HRV AND PAIN SYNDROME AFTER SEPTOPLASTY

Aims: to evaluate various methods of anesthesia during septoplasty for changes in heart rate variability (HRV) and acute pain syndrome in the early postoperative period. Patients and methods. All patients received local anesthesia with 2% procaine solution. In group 1(105 people) premedication was used with 2% promedol solution and 60 mg of ketorolac in the evening, in group 2 (108 people) -fentanyl, propofol, cisatracuria besylate, tranexamic acid, atropine and metoclopramide, in group 3 (78 people) - atracuria besylate, sodium thiopental, nitrous oxide and halothane. In groups 2 and 3, 100 mg of ketoprofen was administered intramuscularly in the evening on the day of surgery. The frequency domain of HRV was estimated per day. Pain was assessed using a visual analogue scale (VAS). Results. ULF and LF were significantly higher in groups 2 and 3 than in the local anesthetic group. VLF in the second group was significantly lower than in groups 1 and 3. Groups 2 and 3 had low HF. The VHF of group 2 was significantly lower than in groups 1 and 3, which also differed from each other - the VHF values in group 1 were higher than in group 2. Total power in group 2 was significantly lower than in groups 1 and 3. Pain syndrome was less pronounced in group 2. Conclusion. The following scheme may be less stressful when performing septopalstics for general anesthesia: fentanyl, propofol, cisatracuria besylate, tranexamic acid, atropine and metoclopramide