TAILIEUCHUNG - Evaluation of the variability of analgesia nociception index values in digestive surgery

Objectives: To evaluate the change of analgesia/nociception index values and average dose of sufentanil in surgery and to find out the relationship between analgesia/nociception index values and VAS score post-operation and its side effects. Subjects and methods: 60 patients, ASA I, II, aged 15 to 60 years undergoing digestive surgery were enrolled in the study. | Journal of military pharmaco-medicine no1-2019 EVALUATION OF THE VARIABILITY OF ANALGESIA/ NOCICEPTION INDEX VALUES IN DIGESTIVE SURGERY Luu Quang Thuy1; Trinh Ke Diep1; Nguyen Quoc Kinh1 SUMMARY Objectives: To evaluate the change of analgesia/nociception index values and average dose of sufentanil in surgery and to find out the relationship between analgesia/nociception index values and VAS score post-operation and its side effects. Subjects and methods: 60 patients, ASA I, II, aged 15 to 60 years undergoing digestive surgery were enrolled in the study. Participants were randomly divided into 2 groups. A standardized anesthetic regimen (sevoflurane, BIS monitoring, epidural analgesia maintenance with levobupivacaine 5 mL/h, analgesia/nociception index monitoring) was utilized for both groups. Group 1 was received sufentanil under the guidance of analgesia/nociception index monitor ( mcg/kg when analgesia/nociception index value < 50). Group 2 was received sufentanil mcg/kg every hour. Results and conclusions: Analgesia/ nociception index values in the group 1 ( ± ) was times lower than the group 2 ( ± ) with p < . Average dose of sufentanil in the analgesia/nociception index group patients (the group 1) ( ± µg) was statistically significant lower than the standard group patients (the group 2) ( ± µg). A good negative linear relationship 2 between analgesia/nociception index score and VAS with r = -0,605 (r = ) was recorded. A reduced incidence of vomiting, nausea (analgesia/nociception index: and standard: ) and slow breathing (analgesia/nociception index : and standard: ) was observed. * Keywords: Digestive surgery; Analgesia/nociception index value. INTRODUCTION Digestive surgery is one of the most painful dissection. Acknowledging and evaluating the level of pain in peri-operation and post-operation is of great necessity. This helps us give accurately analgesics and avoid .

• Y khoa - Dược
• Digestive surgery
• Index value
• Respiratory sinus arrhythmia
• Analgesia nociception index
• Lumbar discectomy
• BMC Anesthesiology
• Older patient
• Digestive system surgical procedures
• Postoperative complications
• Modifed frailty index
• Abdomen
• Abdominal Surgery
• Anesthetic Management
• Benign Diseases
• Abdominal Advanced
• Digestive Carcinology
• BMC Musculoskeletal Disorders
• Posterior approach
• Transforaminal endoscopic discectomy
• Lumbar disc herniation
• Interlaminar fenestration discectomy
• Adjacent segment degeneration
• Open lumbar discectomy
• Percutaneous endoscopic lumbar discectomy
• Postoperative rehabilitation
• Staged rehabilitation
• Lumbar kinetic chain
• Back pain
• Leg pain
• Open fenestration discectomy
• Oswestry disability index
• Visual analogue scale
• Annular closure device
• Limited discectomy
• Microscopic discectomy
• Minimally invasive
• Tubular retractor
• Lumbar disc herniation endoscopic numbness
• Central disc herniation
• Randomized controlled trial
• Postoperative outcome
• Lumbar disc surgery
• Negative pressure pulmonary edema
• Laryngospasm during extubation
• Airway obstruction
• Calcified lumbar disc herniation
• Endoscopic discectomy
• Minimally invasive surgery
• Spinal sagittal imbalance
• Spinal musculature
• Thoracic kyphotic angle
• Gluteal pain
• Lumbar disc hernias
• Physical examinations
• Umbar discectomy
• Wound drainage
• Randomized controlled study
• Epidural haematoma
• Post operative
• Lumbar microdiscectomy
• Randomised controlled trial
• Endoscopic transforaminal discectomy
• Lumbar spinal stenosis
• Imaging parameters
• Vertebral canal
• Full endoscopic lumbar discectomy
• Migrated disc herniation
• Highgrade migrated herniated disc
• Epidural venous system
• Residual low back pain
• Visual analog scale
• Radicular low back pain
• Lumbar spine
• Lateral recess stenosis
• Intervertebral infection
• Percutaneous transforaminal endoscopic discectomy
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