Volkov, O. and Klygunenko, O. and Lutsenko, V. and Braila, P. (2019) Neuromuscular blockade, recovery and postoperative pain after laparoscopic-assisted vaginal hysterectomy with low-pressure pneumoperitoneum versus normal-pressure. European Journal of Anaesthesiology, V. 36 (e-S.57). p. 23. ISSN 0265-0215 (print), 1365-2346 (online)
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Abstract
As the duration of the operation in LP was longer, and extubation of patients was performed later than in NP (Table). Surgeons’ satisfaction was 16% less in LP. The consumption of atrakurium was 8.7% less in NP (p=0.06). Postoperative pain was significantly less in LP, both at 1 and 5 hour, and did not differ after 24 hours. Women started walking earlier after the operation in LP. Correlation were revealed between pressure of pneumoperitoneum and the VAS level after 1 hour (0.73, p=0.03) and 5 hours (0.65, p=0.04). Surgeons’ satisfaction correlated with consumption of atrakurium (0.68, p=0.04). Conclusions: Low-pressure pneumoperitoneum was associated with increased muscle relaxants consumption and cuted surgeons’ satisfaction. However it can reduce early postoperative pain and hasten mobilization.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Neuromuscular blockade - postoperative pain - hysterectomy |
| Subjects: | Anesthesiology and Intensive care |
| Divisions: | Faculty of Postgraduate Education > Department of Anesthesiology, Intensive Care and Emergency Medicine states FPE |
| Depositing User: | Елена Шрамко |
| Date Deposited: | 05 Feb 2020 15:02 |
| Last Modified: | 05 Feb 2020 15:02 |
| URI: | http://repo.dma.dp.ua/id/eprint/4900 |
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