open access

Vol 92, No 3 (2021)
Research paper
Published online: 2021-03-08
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The impact of multimodal therapies on the comfort and safety of patients in the immediate post-anaesthetic period following gynaecological procedures — part II

Agnieszka Biskup, Katarzyna Plagens-Rotman, Maria Polocka-Molinska, Piotr Merks
DOI: 10.5603/GP.a2021.0022
·
Ginekol Pol 2021;92(3):175-182.

open access

Vol 92, No 3 (2021)
ORIGINAL PAPERS Gynecology
Published online: 2021-03-08

Abstract

Objectives: The second part of the study was to assess the effects of the types of anaesthesia along with multimodal analgesia on the stability of vital functions at the critical moment of awakening from anaesthesia. Material and methods: The material comprised the medical records at the Department of Anaesthesiology and Intensive Care in Szczecin. The anaesthesia record forms and recovery room observation charts of 150 patients from the Gynaecology Clinic who had undergone category III and IV surgical procedures between October 2018 and January 2019 were selected for analysis. The patients were divided into three groups: 1. Patients given multimodal analgesia with non-opioid and opioid analgesics. 2. Patients given multimodal analgesia with non-opioid analgesics and adjuvants. 3. Patients given multimodal analgesia with non-opioid and opioid analgesics, as well as neuraxial anaesthesia. Results: The average minimum heart rate in the operating room was 63.92 in group I, 61.48 in group II, and 62.34 in group III. The most common cause of bradycardia during surgery was insufflation. The average SBP prior to surgery was similar in groups I and II — 128.74 and 128.66, respectively. The average maximum values during surgery were 135.24 in group I, 139.34 in group II, and 142.32 in group III. At the time of discharge from the post-anaesthetic care unit, all the patients from the study group had achieved an Aldrete score of 10. Following the anaesthesia, 24% of the patients in group I, 22% in group II, and 28% in group III required oxygen therapy. Conclusions: When using multimodal analgesia, the time required to fully awaken even after extensive surgical procedures was no longer than two hours.

Abstract

Objectives: The second part of the study was to assess the effects of the types of anaesthesia along with multimodal analgesia on the stability of vital functions at the critical moment of awakening from anaesthesia. Material and methods: The material comprised the medical records at the Department of Anaesthesiology and Intensive Care in Szczecin. The anaesthesia record forms and recovery room observation charts of 150 patients from the Gynaecology Clinic who had undergone category III and IV surgical procedures between October 2018 and January 2019 were selected for analysis. The patients were divided into three groups: 1. Patients given multimodal analgesia with non-opioid and opioid analgesics. 2. Patients given multimodal analgesia with non-opioid analgesics and adjuvants. 3. Patients given multimodal analgesia with non-opioid and opioid analgesics, as well as neuraxial anaesthesia. Results: The average minimum heart rate in the operating room was 63.92 in group I, 61.48 in group II, and 62.34 in group III. The most common cause of bradycardia during surgery was insufflation. The average SBP prior to surgery was similar in groups I and II — 128.74 and 128.66, respectively. The average maximum values during surgery were 135.24 in group I, 139.34 in group II, and 142.32 in group III. At the time of discharge from the post-anaesthetic care unit, all the patients from the study group had achieved an Aldrete score of 10. Following the anaesthesia, 24% of the patients in group I, 22% in group II, and 28% in group III required oxygen therapy. Conclusions: When using multimodal analgesia, the time required to fully awaken even after extensive surgical procedures was no longer than two hours.

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Keywords

multimodal therapies; tachycardia; bradycrdia

About this article
Title

The impact of multimodal therapies on the comfort and safety of patients in the immediate post-anaesthetic period following gynaecological procedures — part II

Journal

Ginekologia Polska

Issue

Vol 92, No 3 (2021)

Article type

Research paper

Pages

175-182

Published online

2021-03-08

DOI

10.5603/GP.a2021.0022

Bibliographic record

Ginekol Pol 2021;92(3):175-182.

Keywords

multimodal therapies
tachycardia
bradycrdia

Authors

Agnieszka Biskup
Katarzyna Plagens-Rotman
Maria Polocka-Molinska
Piotr Merks

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