Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 8

Anesthesiological Support of Thoracoscopic Operations: Vagosympathetic Blockade and High Epidural Anesthesia

Sukhodolya Anatolyi Ivanovuch, Chubar Ivan Viktorovuch and Sukhodolya Lyudmula Ivanivna*

Department of Medicine, Anestesiology, Vinnitsa National Medical University by M.I. Pyrogof, Ukraine

*Corresponding Author: Sukhodolya Lyudmula Ivanivna, Department of Medicine, Anestesiology, Vinnitsa National Medical University by M.I. Pyrogof, Ukraine.

Received: June 29, 2023; Published: July 05, 2023

Abstract

Video-assisting thoracoscopic interventions have significant advantages over open thoracotomy procedures, including reduction of surgical pain, improvement of postoperative pulmonary function, reduction of mortality, reduction of hospital stay, but the optimal choice of anesthesia for these interventions remains relevant and not fully resolved issues of thoracic surgery.

The Purpose of the Work: Is to analyze the effectiveness of anesthesiological support for thoracoscopic operations on the lungs with a focus on unilateral vagosympathetic blockade and high epidural anesthesia.

Materials and Research Methods: 45 patients were included in the work: in group A (23 people) thoracospopic intervention was performed using high epidural anesthesia, in group B (22 people) - using unilateral paravertebral vagosympathetic blockade.

Research Results: In the case of epidural anesthesia for thoracoscopic interventions, cardiohemodynamic parameters are characterized by a tendency to hypotension and tachycardia (p < 0.05), compared with patients who have been used with vagosympathetic blockade

At 6 and 12 hours after the intervention, the subjective assessment of VAS pain was greater in the epidural group (p < 0.05). When assessing the need for additional intravenous administration of analgesics in the first 24 hours of the postoperative period, the number of patients in the epidural anesthesia group reached 35.0%, in the vagosympathetic block group - 14.0% (RR - 2.55 [0.77-8.41], OR - 3.38 [0.76-15.0], respectively).

Conclusions: Unilateral Vagosympathetic blockade according to Vishnevsky during thoracoscopic operations is not inferior in effectiveness of the analgesic effect of epidural anesthesia, while accompanied by a more stable level of cardiohemodynamics, a longer duration of analgesic effect and less need for intravenous administration of non-narcotic analgesics in the postoperative period.

 Keywords: Video-assisted Thoracoscopic Surgery (VATS); Anesthesia

References

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Citation

Citation: Sukhodolya Lyudmula Ivanivna., et al. “Anesthesiological Support of Thoracoscopic Operations: Vagosympathetic Blockade and High Epidural Anesthesia”.Acta Scientific Medical Sciences 7.8 (2023): 17-22.

Copyright

Copyright: © 2023 Sukhodolya Lyudmula Ivanivna., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

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