title: [Methods of analgesia in children after surgical correction of the scoliotic spinal deformities].
abstract: The research is based upon comparative evaluation of methods of analgesia in 107 patients after surgical correction of scoliotic spinal deformities, which were divided into three comparable groups. The quality of analgesia was assessed on the basis of the clinical manifestations, central hemodynamic changes and total score of pain intensity on. With a combination of narcotic and non-narcotic analgesics (group 1), adequate blockade of nociceptive impulses and comfort of the child are not being reached. Postoperative wound irrigation with 0.1 - 0.2% solution of ropivacaine in combination with NSAIDs is more effective (group 2), if the length of the wound does not exceed 20-23 cm. This method reduces vomiting after surgery and is applied if the patient has not received epidural analgesia. The best effect is achieved with the constant introduction of 0.2% solution of ropivacaine into the epidural space (group 3). This method provides adequate analgesia, sympathetic blockade, and a comfortable postoperative period. It allows the earlier feeding, reduces the incidence of vomiting and can be considered the method of choice.
authors.forename: V L
authors.initials: VL
authors.lastname: Aĭzenberg
authors.forename: G E
authors.initials: GE
authors.lastname: Ul'rikh
authors.forename: K Iu
authors.initials: KIu
authors.lastname: Ukolov
authors.forename: D V
authors.initials: DV
authors.lastname: Zabolotskiĭ
authors.forename: M D
authors.initials: MD
authors.lastname: Ivanov
authors.forename: N S
authors.initials: NS
authors.lastname: Malashenko
mesh_terms: D000293:Adolescent; D000698:Analgesia / Q000295:instrumentation / Q000379:methods*; D015360:Analgesia, Epidural / Q000295:instrumentation / Q000379:methods; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000627:therapeutic use; D002408:Catheters, Indwelling; D002648:Child; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D008297:Male; D010147:Pain Measurement; D017288:Pain Threshold; D010149:Postoperative Pain / Q000517:prevention & control* / Q000523:psychology; D012600:Scoliosis / Q000601:surgery*; D007507:Therapeutic Irrigation; D016896:Treatment Outcome
chemical_list: D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid