Effect of Anesthesia on Postoperative Pain in Patients after Septoplasty

Dokl Biochem Biophys. 2022 Apr;503(1):93-97. doi: 10.1134/S1607672922020065.

Abstract

The aim of the study was to assess acute pain syndrome in patients after septoplasty using different tactics of general anesthesia. All patients received local anesthesia with 2% procaine solution. In group 1 (95 patients), premedication with 2% promedol solution and 60 mg of ketorolac in the evening was used; group 2 (72 patients) was administered with fentanyl, propofol, cisatracuria besylate, tranexamic acid, atropine, and metoclopramide; and group 3 (89 patients) received atracuria besylate, sodium thiopental, nitrous oxide, and halothane. In groups 2 and 3, 100 mg of ketoprofen was administered intramuscularly in the evening on the day of surgery. Anterior tamponade was performed with parolon tampons in glove rubber. In groups 1 and 2, the tamponade was removed on day 2, and in group 3 it was removed 1 day after surgery. Pain syndrome was assessed on 1, 3, and 6 h and on days 1 and 2 after surgery. It was found that the scheme of anesthesia in group 2 is the most preferable, and the nasal tamponade must be removed on the 2nd day after the surgery.

Keywords: analog scales; anesthesia; pain; septoplasty.

MeSH terms

  • Anesthesia*
  • Fentanyl
  • Humans
  • Pain, Postoperative / drug therapy
  • Pain, Postoperative / etiology
  • Propofol*
  • Thiopental

Substances

  • Thiopental
  • Fentanyl
  • Propofol