Analysis of the relationship of stress markers, pain intensity and cognitive performance in young patients, operated on limb injuries in different types of anesthesia
DOI:
https://doi.org/10.15587/2313-8416.2015.41744Keywords:
regional anesthesia, general anesthesia, trauma of limbs, cognitive functions, stress markers, pain levelAbstract
Aim. Analysis of the dependence of stress markers, pain intensity and cognitive performance in young patients, operated on limb injuries in different types of anesthesia.
Methods. The study included 102 patients (33,5±0,7 years), who underwent osteosynthesis operations due to traumas of the limbs. The patients were divided into 3 groups: I group (n=32) included the patients, who were operated under regional anesthesia without sedation, II group (n=44) included the patients, who were operated under regional anesthesia with sedation, III group (n=26) included the patients who were operated under intravenous anesthesia.
Results. The status of short-term memory at the first day after the operation was evidently improved in patients of І-ІІ groups. The status of short-term memory and attention evidently improved at the fifth day after the operation in patients of all groups. The level of glycemia, cortysolemiа and insulinemia is not exceeding the laboratory rate in all groups of patients at traumatic stage and at the end of the operation. There were no differences by the number of correlations and directions in groups.
Conclusions. The status of cognitive functions in traumatological patients of young age after regional anesthesia, regional anesthesia with sedation (propofolum) and intravenous (propofolum, phentanylum) anesthesia is not deteriorated. The level of stress markers indicates adequate antinociceptive protection during the operation
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