Abstract
Objective: to provide a rationale for the use of ketorolac tromethamine (ketorol) as an analgesic component of general anesthesia during endoscopic gynecological surgery for infertility. The case records of 200 women aged 19 to 35 years, operated on for infertility, were retrospectively studied. All the patients were divided into 4 groups (50 patients in each). Group 1 used ketamine-seduxen anesthesia; Group 2 received dormicum-based ataralgesia; Group 3 had neuroleptanalgesia; Group 4 had diprivan anesthesia with pre-emptive ketorol analgesia. The anesthesia risk was referred as to ASA grade 1. All modes of anesthesia provided its adequacy. Among Groups 1-to-3 patients, 28—40% needed additional postoperative analgesia and 8—12% required postoperative artificial ventilation (AI); postoperative nausea and vomiting (PONV) occurred in 6—8% in these groups. Group 4 patients were in no need of additional analgesia and augmented AI; PONV did not occur. None of the anesthesia modes affected the hemostatic system. Preemptive analgesia with ketorol in combination with diprivan ensured adequate anesthesia during laparoscopic gynecological operations for infertility, caused no PONV, required no augmented postoperative AI or additional postoperative analgesia, and induced no hemorrhagic events. Key words: preemptive analgesia, ketorol, laparoscopic gynecological operations.
Highlights
Цель работы — обоснование применения кеторолака трометамина в качестве анальгезивного ком понента общей анестезии при эндоскопических гинекологических операциях по поводу бесплодия
The case records of 200 women aged 19 to 35 years, operated on for infertility, were retrospectively studied
All the patients were divided into 4 groups (50 patients in each)
Summary
Anesthetic Maintenance of Video Assisted Endolaparoscopic Surgery for Female Infertility. Цель работы — обоснование применения кеторолака трометамина (кеторол) в качестве анальгезивного ком понента общей анестезии при эндоскопических гинекологических операциях по поводу бесплодия. У пациенток 4 й группы отсутствовала необходимость в дополнительном обезболивании, продленной ИВЛ, не возникала ПОТР. Упреждающая анальгезия кеторолом в комплексе с диприваном обеспечивала адекватную анестезию при проведении лапароскопических гинекологи ческих операций по поводу бесплодия, не сопровождалась послеоперационной тошнотой и рвотой, не требова ла продленной ИВЛ в послеоперационном периоде, не требовала дополнительного послеоперационного обез боливания, не сопровождалась геморрагическими осложнениями. Preemptive analgesia with ketorol in combination with diprivan ensured adequate anesthesia during laparoscopic gynecological operations for infertility, caused no PONV, required no augmented postoperative AI or additional postoperative analgesia, and induced no hemorrhagic events. Цель работы — обоснование целесообразности применения неселективного НПВП — кеторолака тро метамина в качестве анальгезивного компонента пропо фол фентаниловой ТВА при эндовидеоскопических ги некологических операциях по поводу бесплодия
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