title: Epidural analgesia with local anaesthetics and promedol as a component of optimisation of management of patients with ischemic pains of the lower limbs in the preoperative period
metadata.name: dc.contributor.author
metadata.value: Volchkov, Vladimir A.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Kovalev, Sergei V.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Bojarkin, Andrei A.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Larin, Dmitrii G.
metadata.lang: -
metadata.name: dc.date.accessioned
metadata.value: 2018-01-31T10:10:08Z
metadata.lang: -
metadata.name: dc.date.available
metadata.value: 2018-01-31T10:10:08Z
metadata.lang: -
metadata.name: dc.date.issued
metadata.value: 2017-12
metadata.lang: -
metadata.name: dc.identifier.citation
metadata.value: Volchkov V. A., Kovalev S. V., Bojarkin A. A., Larin D. G. Epidural analgesia with local anaesthetics and promedol as a component of optimisation of management of patients with ischemic pains of the lower limbs in the preoperative period. Vestnik SPbSU. Medicine, 2017, vol. 12, issue 4, pp. 429–441.
metadata.lang: en_GB
metadata.name: dc.identifier.other
metadata.value: 10.21638/11701/spbu11.2017.411
metadata.lang: -
metadata.name: dc.identifier.uri
metadata.value: http://hdl.handle.net/11701/9063
metadata.lang: -
metadata.name: dc.description.abstract
metadata.value: Comparative analysis of two methods of pain relief in critical ischemia of lower limbs in patients with
  obliterating atherosclerosis of vessels of lower extremities was implemented. In group I, the parenteral infusion of a set of compounds, which included non-narcotic analgesics (non-opioids) and promedol
  was used, in II group — epidural analgesia with local anaesthetic (ropivacaine or bupivacaine) in combination
  with promedol. Comprehensive assessment of the pain syndrome in case of critical ischemia
  of the lower extremities, including qualitative and quantitative evaluation of pain by patients, studies
  of hemodynamic, neuroendocrine and metabolic parameters was carried out. On the basis of the data
  obtained, one-way ANOVA was completed, which confirmed the influence of the type of analgesia on
  the severity of ischemic pain on the dynamics of recorded parameters with a high degree of approximation
  of the analysis. Convincing data about the greater effectiveness of epidural analgesia with local
  anaesthetics and promedol compared to parenteral infusion of promedol and other analgesics not only
  in the treatment of pain and improve quality of life, but also in the correction of adverse reactions of
  cardiovascular system were received. Prolonged epidural block in the preoperative period contributed
  to the improvement of neuroendocrine status, metabolism and oxygen transport. Comparison
  of bupivacaine and ropivacaine used in epidural analgesia revealed the equal efficacy of these drugs.
  Bupivacaine more often caused a more prolonged motor block. Refs 23. Tables 5.
metadata.lang: en_GB
metadata.name: dc.language.iso
metadata.value: ru
metadata.lang: en_GB
metadata.name: dc.publisher
metadata.value: St Petersburg State University
metadata.lang: en_GB
metadata.name: dc.relation.ispartofseries
metadata.value: Vestnik of St Petersburg University. Medicine;Volume 12; Issue 4
metadata.lang: -
metadata.name: dc.subject
metadata.value: obliterating atherosclerosis
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: critical ischemia of lower limbs
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: pain syndrome
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: epidural analgesia
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: promedol
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: local anaesthetics
metadata.lang: en_GB
metadata.name: dc.title
metadata.value: Epidural analgesia with local anaesthetics and promedol as a component of optimisation of management of patients with ischemic pains of the lower limbs in the preoperative period
metadata.lang: en_GB
metadata.name: dc.type
metadata.value: Article
metadata.lang: en_GB
resources.filename: 11-Volchkov.pdf
resources.url: https://dspace.spbu.ru/bitstream/11701/9063/1/11-Volchkov.pdf
resources.format: Adobe PDF
resources.size: 660,74 kB