EFFECT OF TREATMENT ANESTHETIC TACTICS ON LONG-TERM PAIN MANAGEMENT OUTCOMES IN PATIENTS WITH GUNSHOT AND MINE BLAST WOUNDS

Authors:

Abstract:

The frequency of chronic pain in patients after gunshot or mine blast wounds can range from 66 to 91.7 % and depends on several factors. However, the effect of therapeutic anesthesia tactics on long-term pain management outcomes in this category of patients remains unexplored. The results of pain management in 2215 patients with gunshot and mine blast wounds were analyzed. Comparisons were made using the Mann-Whitney and chi-squared tests with allowance for continuity. Better long-term results of pain management were in group 2 (p<0.001), OR=0.09 (95 % CI 0.07-0.11) than in group 1, as well as when using regional anesthesia or regional anesthesia with sedation compared to patients who used general anesthesia. The tactics of pain management in patients after gunshot or mine blast wounds are of crucial importance and affect the long-term results of treatment. When standardized by the type of wound and the number of localizations of wounded anatomical parts of the body, the use of tactics that ensure high-quality control over pain can reduce (p<0.001) the risk of ineffective treatment, OR=0.08 (95 % CI 0.07–0.10).

Keywords:

pain treatment therapeutic tactics of analgesia gunshot and mine blast wounds quality of life military

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Publication:

«World of Medicine and Biology» Vol. 20 No. 87 (2024) , с. 56-59
УДК 615.212: 616.1/.9-001.45/.46-071.4](045)

DOI:

https://doi.org/10.26724/2079-8334-2024-1-87-56-59