2018
Porovnání incizionální a epidurální analgezie v léčbě pooperační bolesti po císařském řezu
MEIXNEROVÁ, Ivana, Martin HUSER, Dagmar SEIDLOVÁ, Petr JANKŮ, Petr ŠTOURAČ et. al.Basic information
Original name
Porovnání incizionální a epidurální analgezie v léčbě pooperační bolesti po císařském řezu
Name (in English)
Comparison of incisional and epidural analgesia in the treatment of postoperative pain after cesarean section
Authors
MEIXNEROVÁ, Ivana (203 Czech Republic, guarantor, belonging to the institution), Martin HUSER (203 Czech Republic, belonging to the institution), Dagmar SEIDLOVÁ (203 Czech Republic, belonging to the institution), Petr JANKŮ (203 Czech Republic, belonging to the institution), Petr ŠTOURAČ (203 Czech Republic, belonging to the institution) and Roman GÁL (203 Czech Republic, belonging to the institution)
Edition
Česká gynekologie, Praha, Česká lékařská společnost Jana Evangelisty Purkyně, 2018, 1210-7832
Other information
Language
Czech
Type of outcome
Article in a journal
Field of Study
30214 Obstetrics and gynaecology
Country of publisher
Czech Republic
Confidentiality degree
is not subject to a state or trade secret
References:
RIV identification code
RIV/00216224:14110/18:00105973
Organization unit
Faculty of Medicine
UT WoS
000458872400004
Keywords (in Czech)
císařský řez; pooperační analgezie; epidurální analgezie; incizionální analgezie; Painfusor
Keywords in English
cesaren section; postoperative analgesia; epidural analgesia; incisional analgesia; Painfusor
Tags
International impact, Reviewed
Changed: 13/5/2020 13:31, Mgr. Tereza Miškechová
V originále
Materiál a metody: Skupina zahrnovala 72 pacientek ve 38.-41. týdnu těhotenství. Byly rozděleny v okamžiku indikace císařského řezu (SC) do dvou skupin podle zvoleného typu analgézie (epidurální / incisionální). Ženy s epidurální analgezí (EA) dostávaly bupivakain a sufentanil po operaci v epidurálním katétru. Druhou skupinou byly pacientky během celkové anestezie SC zavedení do chirurgického rány IA Painfusor, kterým byl kontinuálně podáván bupivakain. Intenzita bolesti byla hodnocena na vizuální analogové škále (VAS). Pokud byl VAS vyšší než 4, podávala se intravenózně dávka opiátového analgetika piritramidu (další dávka analgetika DDA). Intenzita bolesti a počet požadovaných DDA byly hodnoceny 24 hodin po SC. Spokojenost s úlevou od bolesti, kvalitou spánku a vedlejšími účinky pacientek byla hodnocena pomocí dotazníku.
In English
Design: Prospective cohort study in the period from 2015 to 2016. Setting: Department of Obstetric and Gynecology, Masaryk University, University Hospital Brno. Material and methods: The group included 72 patients in the 38th-41st. week of pregnancy. They were divided at the time of indication to the cesarean section (SC) into two groups according to the selected type of analgesia (epidural/incisional). Women with epidural analgesia (EA) received bupivacaine and sufentanil after surgery in the epidural catheter. A second group was patients during general anesthesia SC introduced into the surgical wound IA Painfusor which was continuously administered bupivacaine. The intensity of the patient's pain was evaluated on the visual analogue scale (VAS). If the VAS exceeded 4, the dose of the opioid analgesic piritramide (additional dose of DDA analgesic) was administered intravenously. The intensity of pain and the number of DDAs required were evaluated 24 hours after SC. Satisfaction with pain relief, sleep quality, and patient side effects were assessed using a questionnaire. Results: Patients in the EA group (n = 36) evaluated postoperative pain (PB) value of 4.4 +/- 1.8 according to VAS, women in group IA (n = 36) reported a PB according to VAS of 4.4 +/- 1.3 (p = 0.972). The difference in the number of applied DDA was not statistically significant compared groups (2.3 +/- 0.9 EA vs. 2.4 +/- 0.9 IA, p = 0.301). By comparing the other parameters evaluated by the questionnaire statistically significant more vertigo cases were found in women with IA (22.2% EA vs. 72.2% IA, p < 0.001). In the other evaluated parameters the differences between the two methods were not statistically significant.