TY - JOUR

T1 - Влияние вида послеоперационного обезболивания на развитие острого и хронического болевого синдрома у пациентов после видеоторакоскопических лобэктомий

AU - Новикова, Ольга Викторовна

AU - Ковалев, Сергей Владимирович

AU - Волчков, Владимир Анатольевич

AU - Бояркин, Андрей Александрович

AU - Петров, Андрей Сергеевич

AU - Шах, Борис Николаевич

AU - Атюков, М. А.

PY - 2023

Y1 - 2023

N2 - 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.

AB - 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.

KW - acute pain syndrome

KW - chronic pain syndrome

KW - intercostal block

KW - paravertebral block

KW - video-assisted thoracoscopic lobectomy

UR - https://www.mendeley.com/catalogue/4910bda7-9836-3857-b8c5-aec3887f3255/

U2 - 10.17116/pain20232104124

DO - 10.17116/pain20232104124

M3 - статья

VL - 21

SP - 24

EP - 30

JO - Russian Journal of Pain

JF - Russian Journal of Pain

SN - 2219-5297

IS - 4

M1 - 4

ER -