Khirurgii͡a
-
The transversus abdominis plane (TAP) block is a novel approach for blocking the abdominal wall neural afferents via the bilateral lumbar triangles of Petit. It was described for the first time in 2007 by McDonnell et al. We applied the technique after the original methodology of the authors. ⋯ Each patient was evaluated by VAS in the postanesthesia care unit at the 2, 4, 6, 12 and 24 h postoperatively. Despite the results were more unsatisfactory than those of McDonnel, they were good. Our first impression is that the TAP block provided highly effective postoperative analgesia in the first 24 postoperative hours after major abdominal surgery.
-
A prospective comparative trial was performed to evaluate the effect of intraperitoneal Ievobupivacaine administration on postoperative pain in patients undergoing laparoscopic cholecystectomy. ⋯ Intraperitoneal administration of levobupivacaine is associated with modest analgesia following laparoscopic cholecystectomy.
-
Preoperative anxiety has been suggested as a predictor of postoperative nausea and vomiting, but supporting data are lacking. The aim of this study was to evaluate the influence of preoperative anxiety on the risk of early postoperative nausea and vomiting. 30 patients participated in the study. The investigated factors--predictors and potential predictors--were: age, gender, smok ing history and preoperative anxiety. ⋯ The outcome was the occurrence of nausea and vomiting 12 h after surgery. 14 patients were with nausea and vomiting postoperatively and all of them were with a high preoperative anxiety. The most risk group for postoperative nausea and vomiting in this study is: young men, non smokers with high preoperative anxiety. There is an association between high level of preoperative anxiety and early postoperative nausea and vomiting.
-
Anxiety is the most important psychological preoperative phenomenon. The aims of the present study are threefold: to assess the level of anxiety in patients awaiting operation on thyroid gland; to identify certain patient characteristics that predispose to high anxiety, to compare two measurements of anxiety to determine whether they can assess anxiety before surgery--STAI and VAS. 32 patients participated in the study and completed the state and the trail scales of the State - Trait Anxiety Inventory - STAI and the 100 mm Visual Analogue Scale - VAS the day before surgery. We studied anxiely factors: age, ASA. previous anesthesia. education and smoking. ⋯ STAI - T, VAS and STAL - S + VAS: 78.1%, 62.5%, 65.6% and 65.6%. Patients aged 50 - 59 and > 60 years. ASA III and IV, with previous anesthetic experience, less educated and non-smokers had higher frequency of preoperative anxiety.
-
The choice between the limited pulmonary resection and the standard anatomical resection depends on many factors. The most important are the tumor size, age and general condition of the patient. ⋯ We conclude that the limited resection for patients with non-small cell lung cancer-IA stage is associated with a lower 5-year survival, but less complications, which makes it suitable for elderly and compromised patients.