Antiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery

Purpose: to evaluate the effectiveness of analgesic and anti-inflammatory effects of pterygopalatine blockade in the surgical treatment of cataract in children. Materials and methods. A comparative analysis of the efficacy of intraoperative anesthesia and the course of the postoperative period was c...

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Autores principales: I. G. Oleshchenko, D. V. Zabolotskiy, T. N. Yureva, N. Y. Senchenko, M. A. Shanturova
Formato: article
Lenguaje:RU
Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2018
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Acceso en línea:https://doaj.org/article/e43b2749ef1f4c64aeede13fd3a5ba17
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spelling oai:doaj.org-article:e43b2749ef1f4c64aeede13fd3a5ba172021-11-23T06:14:39ZAntiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery2541-94202587-959610.29413/ABS.2018-3.1.12https://doaj.org/article/e43b2749ef1f4c64aeede13fd3a5ba172018-02-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/541https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Purpose: to evaluate the effectiveness of analgesic and anti-inflammatory effects of pterygopalatine blockade in the surgical treatment of cataract in children. Materials and methods. A comparative analysis of the efficacy of intraoperative anesthesia and the course of the postoperative period was carried out in 52 patients of two clinical groups that were formed depending on the method of anesthesia. The first clinical group included 26 patients who underwent a pterygopalatine blockade as a regional component of general anesthesia, the second comparison group was formed of 28 patients undergoing retrobulbar blockade. To assess the adequacy of anesthesia, the concentration of plasma cortisol and oxidation-reduction profile was determined before and after the operation, the intensity of the pain syndrome, the extent of the inflammatory reaction of the eye after surgery were assessed. The results showed a decrease in the concentration of cortisol and increased antioxidant capacity of the organism after surgery in patients of the first group. In patients of the 1st clinical group, the Tyndal phenomenon of the 1st degree was revealed in 15.3 % of cases, the remaining patients had no signs of inflammation. Each second patient of 2nd group had a moderate degree of inflammatory reaction, and in 7 % of cases significant exudative phenomena were noted in the form of the Tyndall II degree phenomenon. Conclusion. The use of vesicle blockade in the surgical treatment of cataracts allowed improving the quality of rehabilitation of a patient with congenital cataract, both in the early and late postoperative period.I. G. OleshchenkoD. V. ZabolotskiyT. N. YurevaN. Y. SenchenkoM. A. ShanturovaScientific Сentre for Family Health and Human Reproduction Problemsarticlepterygopalatine blockadeoxidation-reduction potentialcongenital cataractScienceQRUActa Biomedica Scientifica, Vol 3, Iss 1, Pp 82-88 (2018)
institution DOAJ
collection DOAJ
language RU
topic pterygopalatine blockade
oxidation-reduction potential
congenital cataract
Science
Q
spellingShingle pterygopalatine blockade
oxidation-reduction potential
congenital cataract
Science
Q
I. G. Oleshchenko
D. V. Zabolotskiy
T. N. Yureva
N. Y. Senchenko
M. A. Shanturova
Antiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery
description Purpose: to evaluate the effectiveness of analgesic and anti-inflammatory effects of pterygopalatine blockade in the surgical treatment of cataract in children. Materials and methods. A comparative analysis of the efficacy of intraoperative anesthesia and the course of the postoperative period was carried out in 52 patients of two clinical groups that were formed depending on the method of anesthesia. The first clinical group included 26 patients who underwent a pterygopalatine blockade as a regional component of general anesthesia, the second comparison group was formed of 28 patients undergoing retrobulbar blockade. To assess the adequacy of anesthesia, the concentration of plasma cortisol and oxidation-reduction profile was determined before and after the operation, the intensity of the pain syndrome, the extent of the inflammatory reaction of the eye after surgery were assessed. The results showed a decrease in the concentration of cortisol and increased antioxidant capacity of the organism after surgery in patients of the first group. In patients of the 1st clinical group, the Tyndal phenomenon of the 1st degree was revealed in 15.3 % of cases, the remaining patients had no signs of inflammation. Each second patient of 2nd group had a moderate degree of inflammatory reaction, and in 7 % of cases significant exudative phenomena were noted in the form of the Tyndall II degree phenomenon. Conclusion. The use of vesicle blockade in the surgical treatment of cataracts allowed improving the quality of rehabilitation of a patient with congenital cataract, both in the early and late postoperative period.
format article
author I. G. Oleshchenko
D. V. Zabolotskiy
T. N. Yureva
N. Y. Senchenko
M. A. Shanturova
author_facet I. G. Oleshchenko
D. V. Zabolotskiy
T. N. Yureva
N. Y. Senchenko
M. A. Shanturova
author_sort I. G. Oleshchenko
title Antiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery
title_short Antiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery
title_full Antiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery
title_fullStr Antiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery
title_full_unstemmed Antiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery
title_sort antiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2018
url https://doaj.org/article/e43b2749ef1f4c64aeede13fd3a5ba17
work_keys_str_mv AT igoleshchenko antiinflammatoryeffectofpterygopalatineblockadeforanesthetizationinophthalmicsurgery
AT dvzabolotskiy antiinflammatoryeffectofpterygopalatineblockadeforanesthetizationinophthalmicsurgery
AT tnyureva antiinflammatoryeffectofpterygopalatineblockadeforanesthetizationinophthalmicsurgery
AT nysenchenko antiinflammatoryeffectofpterygopalatineblockadeforanesthetizationinophthalmicsurgery
AT mashanturova antiinflammatoryeffectofpterygopalatineblockadeforanesthetizationinophthalmicsurgery
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