Optimization of multimodal anesthesia technique using contact laser exposure
https://doi.org/10.37895/2071-8004-2019-23-1-16-22
Abstract
Purpose: To optimize the technique of multomodal anesthesia using laser contact exposure with wavelength 650 nm at the projection of large vessels.
Materials and methods. 107 patients (68 women and 39 men) aged 50–94 with abdominal pathology and concomitant health problems were taken into the study. All patients were divided into two groups (studied – 76 patients and control – 31 patient). Multimodal anesthesia was potentiated in the studied group with additional sessions of quantum hemotherapy using semiconductor laser device «LASPOT» (China) of the fifth generation which has red irradiation range 650 nm, power 40mW. This device looks like a wrist watch, and is used for contact laser irradiation of the projection of large vessels and irradiation of nasal mucous where the minute blood flow passes during 3 min. In the control group, multimodal anesthesia was done without laser light potentiating.
Results. The described potentiating with optic irradiation in the studied group allowed to decrease the loading of narcotic analgesic Phentanil by three times, in average, during general anesthesia as well as to stabilize hemodynamic indexes, to increase the cardiac index and to decrease peripheral vascular resistance in operated patients.
Conclusion. The technique of multimodal anesthesia with optic irradiation can be recommended for wide application in clinical practice.
About the Authors
V. S. Shiryaev
Skobelkin State Scientific Center of Laser Medicine
Russian Federation
Moscow
Russian Federation
Moscow
S. G. Gorin
Hospital for War Veterans № 2, Moscow
Russian Federation
Russian Federation
V. D. Lyutov
Hospital for War Veterans № 2, Moscow
Russian Federation
Russian Federation
O. I. Bugrovskaya
Hospital for War Veterans № 2, Moscow
Russian Federation
Russian Federation
F. M. Swedish
Hospital for War Veterans № 2, Moscow
Russian Federation
Russian Federation
A. M. Khosravan
Hospital for War Veterans № 2, Moscow
Russian Federation
Russian Federation
O. I. Perov
Hospital for War Veterans № 2, Moscow
Russian Federation
Russian Federation
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Review
For citations:
Shiryaev V.S., Gorin S.G., Lyutov V.D., Bugrovskaya O.I., Swedish F.M., Khosravan A.M., Perov O.I. Optimization of multimodal anesthesia technique using contact laser exposure. Laser Medicine. 2019;23(1):16-22. (In Russ.) https://doi.org/10.37895/2071-8004-2019-23-1-16-22
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