ПОТЕНЦИРОВАНИЕ МУЛЬТИМОДАЛЬНОЙ АНЕСТЕЗИИ КВАНТОВЫМ ИЗЛУЧЕНИЕМ ПРИ ПОМОЩИ ОПТОЭЛЕКТРОННЫХ УСТРОЙСТВ
Abstract
The purpose of the work: to develop method of potentiation of multimodal anesthesia with led radiation in
650±20 nm and blue 470±10nm range using Autonomous optoelectronic devices.
Abstract . Material and methods. Conducting contact led exposure was carried out portable semiconductor led device AFS K-630/670 in the red range with a wavelength of 470±10 nm. Multimodal anesthesia was perfomed on the patients abdominal profile (n=124) (78 women and 46 men) with concomitant diseases aged 52 to 93 years/ The weight of patients ranged from 64 to 131 kg/ All patients had 3 degree of anesthetic risk according to the classification of MEAR. The patients were divided into 2 groups: the main group and the control group. In the main group (n=68) 42 patients underwent planned laparoscopic cholecystectomy, 26 patients herniation with alloplasty by laparoscopic method. In the control group (n=56) 39 patients underwent laparoscopic cholecystectomy and laparoscopic alloplasty in 17 patiemts.
Results. It is established that the potential multimodal anesthesia portable semiconductor led apparatus ASFto -630/670 in the red range with a wavelength of 650±20 nm and in the blue range ( the control group patients consumption of fentanil made up 4,92±0,34 mg/kg/h in the main 1,23±012 mg/kg/h. The indicator of Central hemodynamics si in main group increased at the end of surgery from 2,28±0,43 l/min/m2 to 3,29 l/min/m2. (OPSS) DIN C. sm-5 with the initial values from 1604,2±367,3 to 1196,7±385,1 DIN. C. sm-5. In the control group si increased at the end of surgery from 2,28±0,43 to 3,29±0,51 l/min/m2. (OPSS) DIN C. sm-5 increased at 1598,7,±426,5 tо 1610,7±429,1 DIN C. sm-5.
Conclusion. The potentiation of multimodal anesthesia by contact light emitting diodes during abdominal surgeries in the main group allowed, on average, to reduce the dosage of narcotic drugs by 4 times fentanyl analgesics, stabilize hemodynamic parameters, increase the heart index and reduce the total peripheral vascular resistance more than in the control group during the anesthetic treatment.
References
2.Карандашов В.И., Петухов Е.Б., Зродников В.С. Квантовая терапия. //М.: Издательство Медицина, 2004. [Karandahov VI, PetukhovTB, Zrodnikov VS Quantum therapy.Moscou, Meditsina; 2004.(In Russ).]
3. Карандашов В.И. Особенности оптического излучения в синем диапазоне спектра и перспективы использования его в практической медицине // Лазерная медицина. 2013; 17 (2):49-55. [Karandahov VI, Features of optical radiation in the blue range specrum and prospects of its in practical medicine. Laser medicine. 2013;17(2): 49-55. (In Russ).]
4.Кошелев В.Н., Семина Е.А., Камалян А.Б. Сравнительная оценка эффективности применения чрезкожного и внутрисосудистого лезерного облучения крови // Материалы Международной конференции «Клиническое и экспериментальное применение новых лазерных технологий». МоскваКазань. 1995; 395-397. (In Russ). [Koshelev VN, Semina EA, Kamalian A.B. Comparative assessment effectiveness of application of percutaneous and intravascular laser irradiation of bloo. Materials of the international conference experimental application of new laser technologies. Moscou-Kazan. 1995: 395397. (In Russ).]
5.Москвин С.В., Ключников Д.Ю., Антипов Е.В. и др. Изменения в культуре мезенхимальных стволовых клеток человека под влиянием импульсного низкоинтенсивного лазерного излучения красного и инфракрасного спектров //Лазерная медицина. 2014. 18 (2): 30 – 36.(In Russ). [Moskvin SV, Kliuchnikov D Y,Antgipov et al. Changes in culture human mesenchymal stem cell under the influence of pyised low-intensity laser radiation of the red and infrared spectra. Laser medicine 2014; 18(2): 30-36.(IN Russ).]
6.Овечкин А.М., Яворский А.Г. Безопиоидная аналгезия в хирургии: от теории к практике: руководство для врачей. Москва. Издательство ГЛОЭТАР-Медиа; 2019. (In Russ), [Ovechkin AM, Yaworski AG. Without opioids analgesia in surgery:from theory to practice: a guide for physician.Moscou: GLOATER-Media; 2019.(In Russ).]
7.Осипова Н.А., Береснева В.А.,Петрова В.В. и др. Опыт использования аналгетиков периферического действия в системе комплексной защиты пациентов от операционной травмы.//Анестезиология и реаниматология. 2002; (4): 23-26.(In Russ). [Osipova NA, Beresneva BA, Petrova VV et al Experience in the use of peripheral analgesics in the complex protection system patients from surgical trauma. Anestesiology and reanimathology. 2002;4: 23-26 (In Russ).]
8.Павлов С.Е.,Разумов А.Н., ПавловА.С. М. Квантовая стимуляция применяется в медикобиологическом обеспечении подготовки квалифицированных спортсменов. Москва: издательство Спорт; 2017.(In Russ). [Pavlov SE, Rasumov AN, Pavlova SM Quantum stimulation is used in medical and biological ensuring the training of qualified athletes.Moscou: pubishing haus of Sport; 2017. (In Russ).]
9.Хосровян А.М.,Мусихин Л.В.,Ширяев В.С., и др. Внутривенное лазерное облучение крови у пациентов в послеоперационном периоде – динамика показателей микроциркуляции // Лазерная медицина. 2011;15(1): 4-12.(In Russ).[Khosrovyan AM, Musikhin LV, Shiryaev VS, en al. Laser blood irradiation in patients in the postoperative period – dinamics indicators of microcirculation. Laser medicine 2011; 15(1): 4-12. (IN Russ).]
10..Ширяев В.С., МусихинЛ.В., Шветский Ф.М.,Гребенкина М.А. и др. Потенцирование общей мультимодальной анестезии контактным лазерным воздействием на организм в области красного диапазона действия при высоких ампутациях нижних конечностей // Раны и раневые инфекции 2011; 15 (1): 39-44. (In Russ). [Shiryaev VS, Musikhin LV, Shvetsky et al. The potentiation of General anesthesia multi-modal contact laser the effect on the body in the red range of action when high amputations of the lower extremities. Wounds and woud infections. 2019;6(1):39-44 (In Russ).]
11.Ширяев В.С., Айрапетова Т.Л., Саженина Е.И. и др. Мультимодальная сочетанная анестезия с потенцированием транскутанным лазерным облучением крови у геронтологических больных // Лазерная медицина. 2017; 21(1): 38-42.(In Russ) [Shiryaev VS, Airapetova TL,Sazhenina EI et al. Multimodal combined anesthesia with the potentiation of transcutaneous laser blood irradiation in gerontological patients. Laser medicine 2017; 21(1): 32-42. (In Russ).]
12.Durieux M. Peripheral analgesic receptor systems. Br. J. Anaesth. 2006; 97: 273–274. 13.Kehlet H. Dahl G.B. The value of « multimodal » or «Balanced analgesia » postoperative pain treatmentю Anesth, &Analg. 1993; 77950: 1048-1056. 14.Kehlet H., Wilmore D. Multimodal strategies to improve surgical out com. Am. J. Surgeri. 2002 183(6): 630-641.
15. Kelly D.J., Ahmad M., Brull S.J. Preemptive analgesia. I: Physiological pathways and pharmacolocigal modalities. Can J Anaesth 2001; 48: 1000-1010.
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