ULTRASOUND INVESTIGATION CENTRAL HEMODYNAMICS AS A METHOD OF ASSESSMENT EFFECTIVE ANALGESIA

Dmytriieva K. Y.

METHODS AND METHODOLOGIES

Scentific article

The aim of the study was important ultrasound evaluation criteria adequate analgesia in the early postoperative period. Materials and methods. The study conducted in 23 children (12,4 ± 1,2 years) operated with retroperitoneal tumors (14 children, 61%), renal tumors (6 children, 26%), ovarian cancer (3 children, 13%). Registration took place settings automatically using the monitor "Datascope" and "Novometrix". All patients underwent complete intensive treatment, infusion and transfusion therapy, respiratory support device "Hamillton C2" - ASV mode the parameters (FiO2, 30%, PEEP of 2 cm H20, PIP 15-20 cm H20), antibacterial treatment, posyndromna therapy. Research conducted in the following stages of anesthesia: Stage 1 - the beginning of surgery, 2nd stage - traumatic time of surgery, 3rd stage - ending surgery, Step 4 - 6 hours after surgery and 5th stage - 12:00 after surgery. Statistical analysis of the data was performed using the methods of variation statistics using Student’s criterion. Differences were considered likely at r < 0,05. Results. Comprehensive study of reactions of pain behavior parameters of central hemodynamics by ultrasound showed that use of the scheme KSMEA bupivacaine 0.3-0.4 mg/kg and the method of continuous infusion drugs (fentanyl in a dose of 10 mg/kg/h) for postoperative pain relief leads to effective analgesia after traumatic operations. Study parameters of central hemodynamics, such as stroke volume and the volume of blood flow per minute according to the ultrasound showed a stable performance in the first group of patients, due to inadequate anesthesia to data for a comprehensive ultrasound. Conclusion. Ultrasound, which includes a gray-scale scanning, color and spectral Doppler studies are the main instrumental method to timely and accurately assess the state of central hemodynamics with different methods of pain relief.

central hemodynamics, ultrasound, anesthesia

• 1. Ветешев П. С. Принципы анальгезии в раннем послеоперационном периоде / П. С. Ветешев, М. С. Ветешева // Хирургия. – 2002. – № 12. – С. 49-52.
• 2. Региональная анестезия в педиатрии / [В. Л. Айзенберг, Г. Э. Ульрих, Л. Е. Цыпин и др.]. – СПб.: Синтез Бук, 2012. – 304 с.
• 3. Combined spinal epidural and general anesthesia in abdominal surgery / S. Zoric, D. Stamenkovic, S. Stevanovic [et al.] // Medical Arhives. – 2003. – № 57 (4). – P. 21-28.
• 4. Hopf H. Postoperative pain management / H. Hopf, J. Weitz // Archives Surgical. – 1994. – № 129 (2). – P. 128-132.
• 5. Hussain H. K. Imaging of hepatic transplantation / H. K. Hussain, V. H. Nghiem // Clinics in liver disease. — 2002. — Vol. 6 (1). — P. 247-270.
• 6. Kopacz D. J. A comparison of epidural levobupivacaine 0,75 % with racemic bupivacaine for lower abdominal surgery / D. J. Kopacz, H. W. Allen, G. E. Thompson // Anesthesia Analgesia. – 2000. – № 90. – P. 642-648.
• 7. Quantitative sensory examination of epidural anaesthesia and analgesia in man: combination of morphine and bupivacaine / J. Brennum, K. L. Petersen, A. Horn [et al.] // Pain. – 1994. – № 56. – P. 327-337.

«Bulletin of problems biology and medicine» Issue 1 part 1 (126), 2016 year, 228-231 pages, index UDK 616.1/.9