SU1731240A1 - Method for anesthesia in postoperative period - Google Patents

Abstract

This invention relates to the field of anesthesiology. The goal is to reduce complications. For this, the postoperative wound area is irradiated with laser radiation for 30 minutes with a wavelength of 632.8 nm, a light output of 20 mW and a power density of 6 mW / cm, 2-4 times per day. This makes it possible to achieve an analysic effect and, therefore, exclude the use of narcotic analgesics.

Description

This invention relates to medicine, namely to surgery.

The purpose of the invention is the prevention of complications.

This goal is achieved by irradiating the floor of the wound for 30 min with a helium-neon laser with a wavelength of 632.8 nm, an output power of 20 mW of radiation, and a power density of 6 mW / cm2.

The method is carried out as follows.

In the first hours after the operation, a patient with an ULF-01 Yagoda or LG-126 laser device, in which laser radiation is introduced into a flexible light monofilament, is irradiated for an operating wound for 30 minutes at an average laser power density of 20 mW . During the first days after the operation, anesthesia using laser radiation is carried out another 2-3 times. In the next 3-4 days, laser irradiation of the wound is performed 2 times a day. On the background of laser anesthesia

no patient required narcotic analgesics.

Example 1. Patient K, for cancer of the proximal stomach with passage to the esophagus, was performed with gastastectomy with resection of the lower thoracic esophagus and the formation of the esophago-small intestinal anastomosis. The operation lasted 3 hours and 30 minutes, 1300 ml of blood loss, access was thoracoabdominal.

In the resuscitation department, the patient was delivered in a drug sleep. After 3 h, the patient had pain in the wound. The postoperative wound was irradiated with a helium-neon laser, the irradiation time was 30 min. After 20 minutes from the start of irradiation, the pain disappeared. Repeated irradiation was carried out 6 h 30 min after the first session. The analgesic effect was good; no additional use of analgesics was required. Blood pressure and heart rate were respectively 115/75 mm Hg and 96 beats per minute before training and 110/70 mm Hg. and 84 beats per minute after the irradiation session. Repeated irradiation sessions were conducted.

four

WITH

yu.N about

only after 8, 12, 13 and 16 hours. For 3-4 days after the operation, two irradiation sessions were conducted with an interval of 13-16 hours. In total, after the operation, 8 irradiation sessions were conducted. In satisfactory condition, the patient was transferred to the department of thoracic oncology. The postoperative period was uneventful. The patient after surgery did not receive a single injection of narcotic analgesics.

Example 2. Patient H., 67 years old, was left with pneumoectomy for peripheral cancer, after which he was transferred to the intensive care unit. Self breathing, awakened, chest pain moderate. Then there were complaints of severe pain in the wound. Breathing is shallow. Blood pressure is 180/110 mm Hg. Pulse rate 92 beats per minute. The postoperative wound area was irradiated with a helium-neon laser with a wavelength of 632.8 nm. power density of 6 mW / cm2. The pain began to decrease during the period of irradiation, after 30 minutes from the start of irradiation the pain disappeared completely. Breath deep, the patient calmed down. Blood pressure decreased to 135/80 mm Hg, pulse 84 beats per minute, rhythmic. Dry skin, usually 0

five

0

five

Noah coloring. The analgesic effect was maintained for 8 hours. Subsequently, in the postoperative period, another 4 sessions of irradiation were performed in the intensive care unit with an average interval of 8 hours. The patient's condition remained satisfactory, could cough up and sit down. There was no need for additional anesthesia. The postoperative period was uneventful. On the third day, the patient was transferred to the department of thoracic oncology.

The proposed method eliminates the need for parenteral administration of analgesics; respiratory depression is not observed, there are no allergic reactions, can be carried out by nursing staff, and also contributes to the improvement of wound healing processes.

Claims (1)

Claims An analgesic method in the postoperative period by exposure to laser radiation, characterized in that, in order to reduce complications, the region of the postoperative wound is exposed to laser radiation with a wavelength of 632.8 nm. power density of 6 mW / cm2 for 30 min.