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  • 28 -7 (81) 2025 - Akramova N.A., Sharipova V.Kh. - DEEP PARASTERNAL BLOCKADE UNDER ULTRASOUND NAVIGATION - IS A COMPONENT OF PAIN RELIEF AFTER CORONARY ARTERY BYPASS SURGERY

28 -7 (81) 2025 - Akramova N.A., Sharipova V.Kh. - DEEP PARASTERNAL BLOCKADE UNDER ULTRASOUND NAVIGATION - IS A COMPONENT OF PAIN RELIEF AFTER CORONARY ARTERY BYPASS SURGERY

DEEP PARASTERNAL BLOCKADE UNDER ULTRASOUND NAVIGATION - IS A COMPONENT OF PAIN RELIEF AFTER CORONARY ARTERY BYPASS SURGERY

Akramova N.A. - Bukhara branch of the Republican Scientific Center for Emergency Medical Care Uzbekistan

Sharipova V.Kh. - Republican Scientific Center for Emergency Medical Care Uzbekistan

Yuldosheva Sh.A. - Republican Scientific Center for Emergency Medical Care Uzbekistan

Resume

New directions in the treatment of postoperative pain syndrome in cardiac surgery is a deep parasternal block under ultrasound navigation. The aim of the study. To evaluate the effectiveness and safety of the use of deep parasternal blockade under the control of ultrasound navigation in patients after coronary artery bypass grafting. Research materials and methods. The study included 121 patients who underwent coronary artery bypass surgery on a working heart. Group 1-the main group - 60 patients; average age 62.48 ± 9.00 years; men-45 (75%), women- 15 (25%). Immediately after the operation, patients underwent deep parasternal blockade on both sides under the control of ultrasound navigation. Narcotic analgesics were used as a "life-saving strategy" when necessary. Group 2 -control group - 61 patients, average age 61.95 ± 7.41 years, men - 44 (72.1%), women - 17 (27.9%). Postoperative anesthesia was performed with narcotic analgesics (morphine, promedol) in combination with nonsteroidal anti-inflammatory drugs and paracetamol in a dose of 1000 mg. Research results. The use of deep parasternal blockade after aorto-coronary bypass surgery as part of multimodal analgesia is an effective and safe method of postoperative analgesia and contributes to a lower stress on the parameters of central and peripheral hemodynamics, stability of glucose levels, as well as a reduction in the time required for the first analgesic by 65.9%, reduces the subjective feeling of pain in VAS by more than 70% compared to with a group with traditional anesthesia with narcotic analgesics. It helps to reduce the consumption of narcotic analgesics by 95%, reduce extubation time by 37.3%, reduce the frequency of POVN by 2 times, quickly restore intestinal motility by 45.5%, and reduce the length of stay of patients in the intensive care unit by 57.1% and in the hospital by 24.3%. Conclusion. The use of deep parasternal blockade under ultrasound navigation after aorto-coronary bypass surgery improves clinical outcomes and promotes early recovery of patients after surgery.

Key words: deep parasternal block under ultrasound navigation control, component of pain relief after aortocoronary bypass surgery.

First page

145

Last page

151

For citation:Akramova N.A., Sharipova V.Kh., Yuldosheva Sh.A. - DEEP PARASTERNAL BLOCKADE UNDER ULTRASOUND NAVIGATION - IS A COMPONENT OF PAIN RELIEF AFTER CORONARY ARTERY BYPASS SURGERY//New Day in Medicine 7(81)2025 145-151 https://newdayworldmedicine.com/en/new_day_medicine/7-81-2025

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