Status of hemodynamics and estimation of level of pain in young patients at the operations of metaloosteosynthesis under different types of anesthesia

Abstract

Objective – to study of status of hemodynamics and to estimate of level of pain in traumatological patients under different types of anesthesia. Materials and methods. In the research was involved 62 patients at the age from 20 to 45 years, who underwent osteosynthesis operations due to traumas of the limbs. The patients were divided into 3 groups: the 1st group (n=12) included the patients who were operated under regional anesthesia without sedation, the 2nd group (n=30) – the patients who were operated under regional anesthesia with sedation, the 3rd group (n=20) – the patients who were operated under intravenous anesthesia. Results. Mean blood pressure (MBP) in the 1st and the 2nd groups was stable are revealed, but heart rate (HR) showed a trend to growing, however fluctuation of saturation (SpO2) there were no differences in comparison with normal rates. The level of pain according visual analogue scale (VAS) was a little reduction in these groups at the 1st day after the operation in comparison with 3rd group, and was minimal in the 2nd group at the 5th day after the operation. There was anevident reduction of MBP level in the 3rd group during the surgery, and HR was at the level pre-operative period at the traumatic stage, however was an evident reduction at the end of the operation, and did not exceed normal values. HR and level of pain according VAS were the most high in the 3rd group at the 1st day after the operation, and the level of SpO2 was stable in this group. Conclusion. More expressed antistress properties of intravenous anesthesia (propofol, fentanyl) are revealed at the traumatic stage of the operation, however regional anesthesia provided a significant protection against pain at the early postoperative period.