Multimodal perioperative analgesia with minimally invasive interventions on the mammary gland

  • D. E. Korenyuk Clinical Oncology Dispensary, Dnipro, Ukraine
  • A. G. Tkachuk Clinical Oncology Dispensary, Dnipro, Ukraine
  • Yu. M. Terzi Clinical Oncology Dispensary, Dnipro, Ukraine
  • V. Ya. Lagunov Clinical Oncology Dispensary, Dnipro, Ukraine
  • A. G. Antonenko Clinical Oncology Dispensary, Dnipro, Ukraine
  • E. V. Kolokolnikova Clinical Oncology Dispensary, Dnipro, Ukraine
Keywords: Infulgan, Nalbuphine, paracetamol infusion, multimodal analgesia, preemptive analgesia, perioperative analgesia in minimally invasive interventions

Abstract

The article presents the study of the use of parenteral forms of drugs Infulgan and Nalbuphine on the base of the Regional Mammological Center and the Department of Anesthesiology N 1 of Clinical Oncology Dispensary (Dnipro). We have generalized the experience of using these agents as part of multimodal perioperative analgesia in 15 patients who underwent a vacuum aspiration biopsy of the mammary gland using the “Mammotome HH” device. We assessed the intensity of pain in the postoperative period and the need for additional anesthesia. The results of the study showed that the pre-emptive multimodal analgesia with the use of par cetamol in the form of an infusion of Nalbuphine was effective and safe for perioperative analgesia in outpatient minimally invasive diagnostic and therapeutic operations on breast tissue. Such anesthesia made it possible to reduce the doses of anaesthetics used in the postoperative period, facilitating the return of patients to a full life after breast vacuum aspiration biopsy. Our experience may be recommended for relief of the pain syndrome after minimally invasive surgery interventions.

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Multimodal perioperative analgesia with minimally invasive interventions on the mammary gland
Published
2018-03-07
How to Cite
1.
Korenyuk DE, Tkachuk AG, Terzi YM, Lagunov VY, Antonenko AG, Kolokolnikova EV. Multimodal perioperative analgesia with minimally invasive interventions on the mammary gland. PMJUA [Internet]. 2018Mar.7 [cited 2019Oct.17];3(1):43-6. Available from: https://www.painmedicine.org.ua/index.php/pnmdcn/article/view/86
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Original article