Rationalization of Multimodal Analgesia During Coronary Stenting

Abstract


Relevance The article presents the data of the original research to assess the clinical effectiveness of prevent and eliminate intraoperative pain syndrome program during coronary stenting in patients with stable angina pectoris. The purpose of the study Increase of efficiency an integrated anti-stress protection during coronary artery stenting by improving analgesic and sedative components of intraoperative anesthetic management. Materials and methods 200 cardiology patients (without concomitant acute coronary syndrome) with indications for coronary artery stenting. Among the investigated contingent differentiated two contrasting groups. 100 patients were included in the control group (using the traditional analgesia program). Other 100 patients were included in the basic group (using the developed analgesia program). Assessment of the pain intensity with using of modern analogue scales (visual analogue scale, digital rating scale); assessment of the stress-tension-level of the autonomic nervous system by cardiointervalography with mathematical analysis of cardiac rhythm; descriptive and variational statistical methods for determination of intergroup differences significance level. Results and their discussion

Relevance The article presents the data of the original research to assess the clinical effectiveness of prevent and eliminate
intraoperative pain syndrome program during coronary stenting in patients with stable angina pectoris.
The purpose of the study Increase of efficiency an integrated anti-stress protection during coronary artery stenting by improving
analgesic and sedative components of intraoperative anesthetic management.
Materials and methods 200 cardiology patients (without concomitant acute coronary syndrome) with indications for coronary
artery stenting. Among the investigated contingent differentiated two contrasting groups. 100 patients were included in the control
group (using the traditional analgesia program). Other 100 patients were included in the basic group (using the developed
analgesia program).
Assessment of the pain intensity with using of modern analogue scales (visual analogue scale, digital rating scale); assessment of
the stress-tension-level of the autonomic nervous system by cardiointervalography with mathematical analysis of cardiac rhythm;
descriptive and variational statistical methods for determination of intergroup differences significance level.
Results and their discussion In the basic group identified the best level of analgetic protection and neurovegetative stabilization.
Proved possible to complete prevention of intraoperative pain in the studied conditions. All identified intergroup differences have a
high level of statistical significance.
Conclusion The obtained results allow us to: statistically reasonably considered the developed program of analgesia as a means
of optimizing the anti-stress-support for coronary stenting, recommend it to practical application.

In the basic group identified the best level of analgetic protection and neurovegetative stabilization. Proved possible to complete prevention of intraoperative pain in the studied conditions. All identified intergroup differences have a high level of statistical significance. Conclusion The obtained results allow us to: statistically reasonably considered the developed program of analgesia as a means of optimizing the anti-stress-support for coronary stenting, recommend it to practical application.

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Author for correspondence.
Email: author@vestnik-surgery.com
applicant for the Department of anesthesiology and resuscitation of Voronezh state medical Academy named after N.N. Burdenko

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Email: author@vestnik-surgery.com
applicant for the Department of anesthesiology and resuscitation of Voronezh state medical Academy named after N.N. Burdenko

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Email: author@vestnik-surgery.com
applicant for the Department of anesthesiology and resuscitation of Voronezh state medical Academy named after N.N. Burdenko

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Email: author@vestnik-surgery.com
MD, Professor, head of Department of anesthesiology and resuscitation of Voronezh state medical Academy named after N.N. Burdenko

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