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Assessment of the relationship between analgesia nociception index (ANI) and some depth of anesthesia indexs (BIS, PRST) and visual analogue pain score (VAS) after open abdominal surgery
118
Số 03 - Tập 11
https://doi.org/10.51199/vjsel.2021.3.6
https://doi.org/10.51199
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Assessment of the relationship between analgesia nociception index (ANI) and some depth of anesthesia indexs (BIS, PRST) and visual analogue pain score (VAS) after open abdominal surgery

T
Hoang Thi Thanh Tam
Tác giả chính
T
Nguyen Huu Tu
Đồng tác giả
Ngày đăng:13/05/2022
https://doi.org/10.51199/vjsel.2021.3.6

Abstract


Introduction:
The analgesia/nociception index (ANI), a 0 –100 non-invasive index calculated from heart rate variability, reflects the analgesia/nociception balance during general anaesthesia. The aim of this study was to evaluate the relationship between ANI with Bispectral index (BIS), PRST score and VAS in adult patients undergoing general anaesthesia.

Patients and Methods:
A total of 60 patients of American Society Anesthesiologist(ASA) physical status I and II undergoing open abdominal surgery. All patients were monitored and anesthetized according to the protocol. Measurement and recording ANI, BIS, PRST, VAS at the time of study.

Results:
There was a relationship between ANI with PRST, BIS intraoperatively and VAS at recovery period after open abdominal surgery. There was a moderate correlation between ANI and PRST with r = 0.433 (r2 = 0.187, ANI = -3,26*PRST + 56,68) and a low correlation between ANI and BIS with r = 0.362 (r2 = 0.131, ANI = 0.339*BIS + 33.636). And, there was significant negative correlation between the ANI and the VAS score with r = - 0.517 (r2= 0.268, ANI = -4,065*VAS+76.49) postoperatively. Conclusion: The use of ANI monitoring with clinical assessment allows anesthesiologists precise analgesia/nociception balance and a right dosage of analgesics, especially in patients with higher operative risk.

Keywords:
Analgesia/nociception index; Bispectral index; PRST score; assessment; pain;intraoperative; postoperative.

References

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The medial sural artery perforator pedicle propeller flap for lower middle-third anterior tibial soft tissue defect reconstruction: Case report and literature review

Tác giả:
Vu Trung Truc
Vu Anh Duc
Tran Xuan Thach
Bui Mai Anh
Số 03 - Tập 11Ngày đăng: 13/05/2022

Abstract Lower extremity reconstruction still issues a challenge for plastic surgeon. The medial sural artery perforator (MSAP) flap has been reported for using to reconstruct the defects of the knee and proximal-third leg defects in many papers. But there is a few paper describled the technique of using this flap for reaching the middle third led defects. The authors report the first using MSAP propeller flap in Vietnam to cover the defect in 45-year-old female patient who suffered from chronic ulcer with bone exposure over the middle third anterior tibial and evaluate the result of 4 months post-op. Keywords: Lower...

https://doi.org/10.51199/vjsel.2021.3.10

The predictive value of diaphragm ultrasound for weaning outcomes in surgical intensive care unit

Tác giả:
Ngo Anh Phuong
Trinh Van Dong
Số 03 - Tập 11Ngày đăng: 13/05/2022

Abstract Introduction: Multiple studies have shown that diaphragmatic ultrasound can better predict outcome of weaning. The purpose of this study was to investigate the predictive value of two diaphragmatic ultrasound indices, diaphragmatic thickening (DTF) and excursion (DE) for weaning outcomes in surgical intensive care unit (ICU). Patients and Methods: The study included 60 cases whose mechanical ventilation (MV) time was >48 hours, and all eligibles were divided into either the weaning success group (n=45) or the weaning failure group (n=15). Diaphragm thickness, diaphragmatic excursion (DE) and diaphragmatic thickening fraction (DTF) were measured in the zone of apposition. The rapid shallow...

https://doi.org/10.51199/vjsel.2021.3.9

Outcomes of percutaneous biliary stent placement for malignant hilar biliary obstruction

Tác giả:
Ngo Van Hung
Số 03 - Tập 11Ngày đăng: 13/05/2022

Abstract Introduction: This study aims to evaluate the effectiveness and safety of the percutaneous biliary stent placement for malignant hilar biliary obstruction (MHBO). Patients and Method: Percutaneous biliary stent was placed in 50 patients with MHBO at Viet Duc University Hospital from June 2019 to July 2020. The patients were monitored during their hospitalization, at 1-month and long-term follow-up on clinical symptoms and laboratory results as well as complications. The effect and safety of this technique were evaluated. Results: Successful rate was 98%. The total serum bilirubin decreased from 280.06 ± 164.65 µmol/L before to 165.09±112.90 µmol/L one week later...

https://doi.org/10.51199/vjsel.2021.3.8

Chimeric anterolateral thigh free flap for reconstruction of oral cancer

Tác giả:
Bui Mai Anh
Vu Trung Truc
Tran Xuan Thach
Thai Thinh
Ngo Hai Son
Nguyen Hong Ha
Tong Xuan Thang
Số 03 - Tập 11Ngày đăng: 13/05/2022

Abstract Introduction: In recent years, cancer in the oral cavity has been a fairly common disease in Vietnam. The treatment of this pathology requires the coordination of many different specialties such as wide resection of the tumor, reconstructive surgery, radiotherapy, chemotherapy. Reconstruction of post-excision tumors in the oral cavity is always a challenge with the surgeon. The report aims to provide outcomes and share our chimeric ALT flap experience to cover defects after oral cancer resection. Patients and Methods: Cross-sectional study on 18 patients who had reconstruction with free flap after wide resection cancer's tumor in the oral cavity. Research...

https://doi.org/10.51199/vjsel.2021.3.7

The extended latissimus dorsi flap in oncology breast reconstruction: Case report and literature review

Tác giả:
Vu Trung Truc
Bui Mai Anh
Số 03 - Tập 11Ngày đăng: 13/05/2022

Abstract The latissimus dorsi myocutaneous flap was one of the first methods of oncology breast reconstruction described. However, the standard latissimus dorsi flap alone often does not provide sufficient volume for breast reconstruction, it may have not been the first choice any more. The design of an extended latissimus dorsi flap has involved to include the parascapular and scapula fat fascia in addition to the lumbar fat for additional volume. The main advantage of the extended latissimus dorsi flap is that it can provide autogenous tissue to restore breast volume, it is suitable for Asian women whose breasts are not...

https://doi.org/10.51199/vjsel.2021.3.5

Endoscopic-assisted microvascular decompression for trigeminal neuralgia secondary to vertebrobasilar dolichoectasia: Case reports and literature review

Tác giả:
Duong Dai Ha
Pham Hoang Anh
Le Duc Tam
Chu Thanh Hung
Pham Tuan Dung
En-Dong Van He
Số 03 - Tập 11Ngày đăng: 13/05/2022

Abstract Introduction: Trigeminal neuralgia (TN) secondary to vertebrobasilar dolichoectasia (VBD) was a rare condition with limited cases reported in the medical literature. This paper reported two successful cases of endoscopic-assisted microvascular decompression (MVD) for TN secondary to VBD. Case presentation no. 1: A 53-year-old male with a history of myocardial infarction and heart failure was diagnosed of left trigeminal neuralgia V2 and V3 for three years. The pain did not respond to medical therapy with Tegretol at the dose of 800mg per day. Brain magnetic resonance imaging (MRI) revealed a neurovascular conflict between VBD and the left trigeminal nerve. The...

https://doi.org/10.51199/vjsel.2021.3.4