ESTABLISHING THE OPTIMAL DEPTH OF ANALGOSEDATION DURING STENTING OF THE CORONARY ARTERIES

Abstract

Most invasive diagnostic and therapeutic procedures in interventional radiology are associated with fear or pain. This situation occurs despite the use of sedation and analgesia. To date, there is no consensus regarding the choice of anesthetic accompaniment in interventional cardiology, which varies widely: from sedation to complete anesthesia.Objective. To establish the optimal depth of analgosedation during coronary artery stenting.Materials and research methods. The study included 90 patients with coronary artery disease who underwent a planned stenting of the coronary arteries with a diagnosis of angina pectoris FC II-III with intraoperative analgosedation. The comparison group consisted of patients who received it with diazepam and fentanyl solution. Groups 2 and 3 consisted of patients for whom, to ensure the optimal level of sedation, a combination of fentanyl and propofol districts at the level of anxiolysis and moderate sedation was chosen.Conclusions. The results of the study testify to the adequate provision of the external respiration function in all studied groups. Most often, during the perioperative period of coronary artery stenting, patients complained of chest pain, back pain, drowsiness and nausea. When comparing groups with different depths of sedation, the anxiolysis group showed higher levels of stress markers (glucose, cortisol), a tendency to hypertension, and a greater number of complaints than patients in group 3. Based on these facts, we think that providing a state of moderate sedation has advantages in coronary stenting.