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Preemptive analgesia as part of multicomponent anesthesia in children with operations in the nasal cavity and nasopharynx


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Objective: The article presents the results of assessing the impact ofpre-emptive analgesia with lidocaine and paracetamol compared with fentanyl for postoperative pain in children undergoing surgery for nasal cavity and nasopharynx. Methods: We evaluated the incidence and severity of postoperative pain in 150 patients aged 3 to 17 years (ASA I - II), following operations in the nasal cavity and nasopharynx. Results: In pre-emptive analgesia group, patients (n = 75) experienced postoperative pain at 28% less in comparison with the control group. The severity of pain was observed at 50% less in the intervention group which was accompanied by lower levels of cortisol. Additional analgesia during the first 2 hours after surgery there was within 15% less in a pre-emptive analgesia group when compared to the control group. Patients with multi-component of general anesthesia and local anesthetic lidocaine via a nebulizer and paracetamol i.v. were ready for extubation / removal of the laryngeal mask at 40% earlier, and for transfer to the general department 50% sooner than patients with combined anesthesia with sevoflurane, nitrous oxide and fentanyl.

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