6 results on '"Ivan Lisnyy"'
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2. Impact of the Pringle manoeuvre on the mitochondrial redox state of hepatocytes in colorectal cancer patients with liver metastases
- Author
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Anton Burlaka, Ariadna Paliichuk, Dmytro Makhmudov, Andrii Lukashenko, and Ivan Lisnyy
- Subjects
colorectal cancer with liver metastases ,liver resection ,ischemia-reperfusion injury ,redox state ,pringle manoeuvre. ,Medicine - Published
- 2021
- Full Text
- View/download PDF
3. Chronic pain in cancer patients
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Anastasiia Moisieienko, Oleksandr Marchuk, Ivan Lisnyy, and Dmytro Dmytriiev
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Pain ,Chronic pain ,Cannabis ,Anesthesiology ,RD78.3-87.3 - Abstract
Background. Pain is a complex clinical sign that is highly variable in both intensity and perception by patients. Often, a combination of symptoms and signs can indicate a pain syndrome specific to oncology. Virtually all patients with malignant diseases experience recurrent episodes of acute pain, which may accompany previous surgery, invasive procedures, or complications such as pathologic fractures or disease progression. Chronic pain is a huge economic burden on society, both in terms of health care and lost productivity. Effective treatment of chronic pain results in significant improvements in general and psychological wellbeing and functioning of cancer patients and reduces the burden of chronic pain on health services. The purpose is to clarify the problems of the prevalence of chronic pain in cancer patients, the complexity and variability of the pathophysiological mechanisms of the development of pain syndrome, to consider modern approaches to the management of patients with chronic pain. Materials and methods. Modern foreign guidelines for the management of cancer patients with pain syndrome, written in English, data from metaanalyses, reviews and clinical studies were used. Conclusions. Data from a 2016 crosssectional study to determine the prevalence and impact of depression on health care costs in patients with complex chronic pain indicated that patients with chronic pain are at increased risk of developing depressive disorder of varying severity. About onethird of the study sample had major depression, and the overall prevalence of depression among individuals with chronic pain was higher than 50% [3]. Up to 75% of all cancer patients with chronic pain have nociceptive (somatic or visceral) or neuropathic syndromes, which are a direct consequence of the development and progression of the neoplasm. Other causes include anticancer drugs and disorders unrelated to the disease or its treatment. Several systems are used to classify the pain syndrome, in particular — ECS-CP, IASP, ACTTION-APS. Today, in the management of cancer patients with chronic pain, the WHO threestep analgesic ladder is used: the first two steps are paracetamol and NSAIDs, mild opioids (control of mild and moderate pain), the third is opioids. The selection of opioids, their dosage and titration features should take into account the individual characteristics of the patient in order to avoid overdose and addiction. In addition to the abovementioned drugs, studies are being conducted to determine the effectiveness and feasibility of using medical cannabis as an alternative means, the use of which will improve the general condition of patients by relieving pain, and preventing the development of opioid addiction. Interventional techniques (neurolytic blockades, neuraxial infusions, trigger point injections, spinal cord stimulation, intrathecal drug administration, and vertebral augmentation) are also used to control chronic pain. The application of physical and psychosocial methods in the comprehensive management of such patients is studied.
- Published
- 2022
- Full Text
- View/download PDF
4. Modern approach to perioperative pain relief using various modern methods and anesthetics
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Ivan Lisnyy and Yurii Kuchin
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epidural analgesia ,single-use infusion pump ,ropivacaine ,bupivacaine ,Anesthesiology ,RD78.3-87.3 - Abstract
Adequate postoperative analgesia remains unresolved problem of the acute pain treatment. In spite of wide choice of different groups of analgesics, epidural analgesia is the most adequate and efficient method of the postoperative analgesia. Continuous epidural analgesia is broadly used for postoperative pain relief. Such approach has own advantage over periodic administration of anesthetics into epidural space. These positive effects include constant level of the good pain relief, possibility of patients to participate in process of the pain management, reduction of probability of infectious complications in accordance with the use of epidurals and others. Besides, continues epidural infusion vastly reduces the load on medical stuff. Using electronic pumps for prolonged epidural analgesia has its own advantages and disadvantages. Disposable infusion pumps have not these disadvantages, in contrast of electric infusion pumps. Local anesthetics except their main effect possess anti-inflammatory action. This effect is not only under low plasma concentration, which does not possess cardiotoxic action. Such low plasma concentrations are possible to reach only under prolonged epidural infusion. At present, for prolonged epidural infusion bupivacaine and ropivacaine are most often used. Ropivacain possesses beside advantage over other local anesthetics. Ropivacaine is less cardiotoxic, than bupivacaine.
- Published
- 2022
- Full Text
- View/download PDF
5. Сучасні підходи до періопераційного знеболювання з використанням сучасних методів та анестетиків
- Author
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Ivan Lisnyy and Yurii Kuchin
- Subjects
ropivacaine ,епідуральна аналгезія ,бупівакаїн ,одноразова інфузійна помпа ,bupivacaine ,ропівакаїн ,epidural analgesia ,single-use infusion pump ,General Medicine - Abstract
Adequate postoperative analgesia remains unresolved problem of the acute pain treatment. In spite of wide choice of different groups of analgesics, epidural analgesia is the most adequate and efficient method of the postoperative analgesia. Continuous epidural analgesia is broadly used for postoperative pain relief. Such approach has own advantage over periodic administration of anesthetics into epidural space. These positive effects include constant level of the good pain relief, possibility of patients to participate in process of the pain management, reduction of probability of infectious complications in accordance with the use of epidurals and others. Besides, continues epidural infusion vastly reduces the load on medical stuff. Using electronic pumps for prolonged epidural analgesia has its own advantages and disadvantages. Disposable infusion pumps have not these disadvantages, in contrast of electric infusion pumps. Local anesthetics except their main effect possess anti-inflammatory action. This effect is not only under low plasma concentration, which does not possess cardiotoxic action. Such low plasma concentrations are possible to reach only under prolonged epidural infusion. At present, for prolonged epidural infusion bupivacaine and ropivacaine are most often used. Ropivacain possesses beside advantage over other local anesthetics. Ropivacaine is less cardiotoxic, than bupivacaine., Адекватна післяопераційна аналгезія залишається до кінця не вирішеною проблемою лікування гострого болю. Незважаючи на широкий вибір аналгетиків, епідуральна аналгезія залишається найбільш адекватним та ефективним методом післяопераційного знеболювання. Подовжена епідуральна аналгезія широко використовується для післяопераційного знеболювання. Такий підхід має переваги перед періодичним введенням місцевого анестетика в епідуральний простір. Він включає: постійний рівень аналгезії, можливість хворого брати участь у процесі лікування болю, зниження інфекційних ускладнень (епідуральний абсцес). Крім того, постійна епідуральна інфузія значно знижує навантаження на медичний персонал. Постійну епідуральну інфузію можливо проводити за допомогою електричних помп чи одноразових інфузійних помп. Місцеві анестетики, крім їхнього основного ефекту, мають протизапальний ефект, який досягається тільки при подовженій інфузії. Крім того, ці концентрації не викликають кардіотоксичного ефекту. Для подовженої епідуральної інфузії на теперішній час використовують найчастіше бупівакаїн та ропівакаїн. Ропівакаїн має певні переваги перед іншими місцевими анестетиками.
- Published
- 2022
6. REGIONAL ANAESTHESIA AND ACUTE PAIN
- Author
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Dragana Unic-Stojanovic, Camilo Año, Alejandro Lucchelli, Gustavo Carradori, Rodriguez Perez Jose Maria, Carla Farré, Carlos E. Lorda, Carolina Henao, Yoram Shapira, Martin McNally, Fauzia Nawaz, Lee Krahe, Fauzia Khan, Michael Burns, Nurdan Özdemir Fatma, Opas Puchissa, Peter Chee Seong Tan, Garcia Rojo Blas, Andrey L. Melnikov Steinar, Anjolie Chhabra, Buzz Shephard, Tomas E. Lambertus, Edgar Omero, Jason Chou, Tobias Piegeler, Jayashree Simha, Susana Pacreu, Athanasia Tsaroucha, Elisabet Andersson, Takashi Suto, Mauro Gili, Valasubramaniam Mahadevan, Miguel Moreno, Aylin Incesu, Pavan Gurha, José Aguirre, Francisco Riberi, Norzalina Esa, Imran Ahmed, V Mehta, Sanoussi Samuela, Richard Minshall, Belen Posso, Hyun Seung Kim, Orozco Montes Javier, Jesús Carazo, Mubeen Khan, Maria E. Interiano, Svetlana Galitzine, Stefano Scalia Catenacci, Raveendranath Wadhwani, Naila Asad, Nicole Naccache, Ralf E. Gebhard, Chaibou M Sani, Eduardo Sadatsune, Rita Jawish, Maria Isabel Vasquez, Dominguez Serrano Nuria, Grant Mills, Francisco Gómez Armenta, Jong-Hun Ji Sang, Rafael Esturi, Senthil Nadarajan, Jamie Vivian, Ömer Yanarates, Vera Tesic, Altun Demet, Shobha Rani, Pablo Lassalle, Argyro Fassoulaki, Ivan Lisnyy, Serdar Kaymak, S. S. Nethra, Ena Miller, Roberto Contreras, Antonio Carlos Shimano, Tanvir Butt, Somi Ramachary Desikan, Gulden Ugur, Bon Nyeo Koo, Jose M. Galbis, Juan Carlos Elvira, William Knox, Gina Votta Velis, Maria Carolina Cabrera Schulmeyer, Yuryy Kuchin, Alexandr Zlotnik, Serena Calcinati, Youn-Woo Lee, Ulrich Johannes Spreng, Bertram Baenziger, Thitima Chinachoti, Coskun Fusun Bozkirli, Howard Palte, Jaime De la Maza, Miriam Estors, Yon Hee Shim, Mercedes Lluch Fernández, Izuru Nose, D. Devikarani, Andeia Andeia Paraskeva, Sirous Momenzadeh, Cezary Kosiñski, Ae Ryoung Lee, Sivendiran Mahalingam, Beatrice Beck-Schimmer, Fatma Nur Kaya, Oguz Kýlýçkaya, Edward R. Mariano, Daniel Abell, Adrian Pearce, Farrukh Afzal, Cheng Ong, Rodrigo Costa, Anuradha Borle, Joao Abrao, Karl Otto Geier, Franco Ravera, Soo Joo Choi, Azlina Abbas Azhar, Soha Bazyar, Abarchi Habibou, Juan Fernández Candil, Fernando Cacheiro, Suzie Ward, Saju Sharafudeen, Luiz Falcao, Agata Kacka, Nicolas Altolaguirre, Ivan Ilic, Guillermo Reeves, Raveenthiran Rasiah, Eduard Stahovskiy, Rajiv Kumar, Akbar Shah Romila, Encarna Miñana, Inmaculada Herrador Montiel, Ravindra Wadhwani, Ji Young Kim, Diego Guardabassi, Hee Pyoung Park, Ji Young Yoo, M. Nuri Deniz, Amlesh Seth, Christopher Pollitt, Cristián Manuello, Jung-Won Hwang, Cleverson R. Fernandes, Shigeru Saito, Binod Gautam, Dusica Vucurevic, Pablo Morgillo, Elialba Cascudo, Hisham Jabbour, Jessica Zavesky, Vasanth Rao Kadam, M. P. S. Lokesh, Asoumane Toudou Nouhou, Jose E. LLopis, Asadollah Saadatniaki, Nicolás Gastón Moreno, Eduardo Cardieri, Franco Frenquelli, Dariush Abtahi, Liliana Suárez Aguilar, Marco Antonio Jogaib, Vescovo Anibal, Yun T. Romy, Tarik Purtuloglu, Cristián Ovalle, Oscar Aguirre, Mohammad Ali, Hanafi Sidik, Evangelina Gagliardo, Seyed Saed Jahanbakhsh, Chee Kean Chen, Edward Kim, Perumal Tamilselvan, P. Siddalingeshwara, Jaime Ordoñez, Raúl Trotta, Virginia Funes, Leonardo Ferraro, Belgin Yavaşcaoğlu Oya Kutlay, Stephan M. Jakob, Bjørgo Ulf E. Kongsgaard, Adriana Demoner, Alessandro Buda, Duck Hwan Choi, Tomasz Lazowwski, Hicham AbouZeid, Maria Tardelli, Young-Tae Jeon, Mabhidli Mduduzi Mashinini, Roberto Flores, Fernando J. Sanchez, Liliana Vaula, Bruno Gatto Chiara, Young Hee Shin, B Stevens, Vegard Dahl, Ludmila Klimchuk, Jung-Hee Rhyu, Steven Gayer, Ulka Paralkar, Carlos Bollini, Ylmazlar Burak Demira, Shu Ching Teo, Aliya Ahmed, Daniel Espada Lahoz, Angela Maria Rios, Hasmizy Bin Muhammad, Gutierrez-Meca Maestre Maria Dolores, Aida Amirzhanova, Oliver Baehre, Nicholas Christelis, Khalil Jabbour, Daniel Rothen, Amisha Burumdayal, Kevin Kline, Scaglioni Maria, Seema Randive, Masaru Tobe, Pablo Ingelmo, Gabriel Cortés, Agzam Zhumadilov, Jean-Marie Parel, Guillermina Harvey, Manee Raksakietisak, Aziza Hussain, Moran Debbie Miller, Aikaterini Melemeni, Jong Bum Choi, Paul F. White, Rodrigo Okubo, Hanuman K. Murthy, Robyn S. Weisman, K. Gunashekar, Blasko Smiljanic, Mariusz Piotrowski, Matthew Irwin, Amarpal Bhalla, Dominguez Ximena, Sani Rachid, Sian Griffiths, Rajeshwari Subramaniam, Maria Patricia Gonzalez, Irimar de Paula Posso, Ana Maria Pagliaro, A.C. Lundgren, Ercan Kurt, Piotr Sarwiñski, Vicente Muedra, Diego García-Girona, Nora Hasiah Idris, Merican Naveenthiran Thevanthiran, Ali Sýzlan, Jairo Moyano, Perrín Turenne Hugo, Fabian Astore, Angkana Luingnateetape, M Dilkes, Eun Park, Mariano Souza, S. S. Harsoor, J. Gregg Melton, Sang-Hwan Do, Magdalena Sinczak, Goran Tockov, Alexandre Takeda, K. Brijesh, George Mathew, C. Kumaresan, José Luis Furno, Brendan Carvalho, Miomir Jovic, Alex Ramsden, Elvan Erhan, Gonzalo M. Rivas, Andres Missair, Aysun Yildiz, Tomasz Lazowski, Ortega Ortega, Gundappa Parameswara, Van Wijk Roelof John, María Angélica Iglesias Tinnirello, Hitoshi Shimada, Kimiko Takekawa, SangMook Lee, Rachel Farmer, Nur Kaya Aysun, Hideaki Obata, Renato Passos, and Jimena Palleiro
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Anesthesiology and Pain Medicine ,business.industry ,Anesthesia ,Medicine ,Regional anaesthesia ,business ,Acute pain - Published
- 2012
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