Open AccessTHE USE OF LIDOCAINE INFUSION FOR ANALGESIA AND PREVENTION OF ILEUS AFTER MAJOR ABDOMINAL SURGERIES
Author(s) -
Ivan Y. Sholin,
Шолин Иван Юрьевич,
V. A Avetisyan,
A Vitoslavskii A,
Beka S. Ezugbaia,
Эзугбая Б. С,
В. А. Жихарев,
Жихарев В. А,
В А Корячкин,
Корячкин В. А,
Evgeny Y. Felker,
Фелькер Е. Ю
Publication year - 2018
Publication title -
regionarnaâ anesteziâ i lečenie ostroj boli
Language(s) - English
Resource type - Journals
eISSN - 2687-1394
pISSN - 1993-6508
DOI - 10.18821/1993-6508-2018-12-2-107-112
Subject(s) - medicine , ropivacaine , lidocaine , anesthesia , ileus , bolus (digestion) , surgery , abdominal surgery , intensive care unit
Objective. To assess the effect of infusion of lidocaine solution in patients after extensive abdominal operations. Material and methods. Were examined 42 patients with cancer of the pancreas, which is made pancreatoduodenal resections. The patients were divided into two comparable groups. Patients of the first group (n=21) before surgery injected bolus 1.5 mg/kg lidocaine, followed by infusion at a rate of 1.5 mg/kg*h during the first 24 hours after surgery. Patients of the second group (n=21) started epidural infusion of 0.2 % ropivacaine solution at a rate of 5 ml/h. The intensity of pain syndrome was evaluated on VAS at rest and during mobilization, bowel actions, the time of first flatus and first stool, the need for additional analgesics and lenght of stay in the intensive care unit. Results. The intensity of pain in the first day was significantly (p