Many heart disease patients say their biggest worry is getting through the pain after surgery, not during the surgery..
With ruddy skin, a coherent voice, and the ability to move around, little did they know that Mr. Ho Le Duy (34 years old, living in Da Nang) has just undergone a major surgery a few days ago.
Since birth, Duy has suffered from a congenital heart defect. The older he grew, the more years this disease tormented him. Unlike his peers, he has limited mobility and sports. According to Mr. Duy, it is very difficult when he participates in strong activities, because his body will get tired faster than everyone else.
Recently, when his body suffered from complications from a congenital heart defect, he decided to seek surgery to ensure his health.
In the process of learning about heart surgery, Mr. Duy could not help but worry and ponder. "When I entered the surgery, I completely trusted the doctor. But the worry was to overcome the pain after surgery, not during surgery. I've heard stories from people who have had surgery and I'm scared," said he.
In the midst of fear, Mr. Duy constantly searches for information about heart surgery on websites. In the end, he decided to choose open heart surgery without morphine for pain relief at Vinmec, after learning that this unit had just successfully operated the world's first morphine-free open-heart surgery.
"To be honest, I was personally surprised because after the surgery, I was able to tolerate the pain. It was a pain that could be faced, not a terrible pain as people say. For example, if the pain others describe as 10 on a scale, I only feel pain from 1 to 2 points."
And the pain at 10 points feels like I've fainted. I have to say that surgery with this method makes me feel very good and I hope to replicate it so that many people can benefit, as well as to reduce anxiety about pain, because illness is already too much of a pain." Mr. Duy shares his real experience.
With her child going through the important days of the surgery, the face of Ms. Le Thi Tuyet Hue, the mother of patient Ho Le Duy, is now radiant because she sees her son is healthy, recovers quickly, can talk and walk again.
"The pain-free anesthesia is the best thing. Second, the surgeon and the treating doctors are considered to have golden hands, so I feel secure. The third is that the environment here is very good. The fourth is the care of the medical team and doctors makes my family feel satisfied. All are worth the money and account I spent," Mrs. Tuyet Hue shared.
It is known that the total time Duy was hospitalized, operated on, recovered and discharged took only 6 days. Specifically, on May 4, he was hospitalized. The surgery was performed a day later, and on May 10, he was discharged from the hospital.
Directly applying open heart surgery without morphine to relieve pain for many patients, Doctor Ho Thi Xuan Nga, Cardiovascular Center of Vinmec Central Park International Hospital (HCMC), shared: “Before starting surgery, I usually explain to family members in advance, they have the right to choose between two methods. Most of the time when they come into contact, they know and understand that they will get the best pain relief after surgery, so they choose this method".
Limit side effects of morphine
According to experts, open heart surgery is a very common surgery. During surgery, patients often have to open the chest by cutting along the sternum or opening the rib cage.
In order to relieve pain, doctors usually have to combine high doses of morphine and pain relievers for patients. Even so, most patients still do not completely get rid of the pain. After surgery, they still have to endure severe pain from the incision, the sternum saw, drainage and high back area. Pain after heart surgery can also affect internal organs and cause many complications after surgery.
According to Doctor Nga, the use of morphine for pain relief can also cause side effects such as long recovery time and hospital stay, nausea, vomiting, itching, respiratory failure, dependence, thereby causing pain. pain syndrome, chronic pain after surgery.
Doctors working at Vinmec Hospital said that to overcome the above limitation, they applied a new technique of regional anesthesia to relieve pain: inserting a catheter (catheter) under the erector vertebral muscle next to the spine from the back. (ESP).
This technique helps to block pain signals before being transmitted to the spine, safe and highly effective pain relief.
"Applying ESP, we have brought painless surgery to hundreds of heart surgery patients over the past year," said a representative of this unit.
"The main difference of ESP surgery is that it does not use morphine and morphine derivatives after surgery. During surgery we also reduces the use of morphine derivatives."
Since then, bringing good results is that the patient has no respiratory limitations, no increased pain, no persistent pain", said Doctor Xuan Nga about the difference between open-heart surgery without using morphine compared with traditional analgesia.
A representative of this unit said that from the beginning of 2017 until now, hundreds of open-heart surgery patients at this hospital have all passed the major surgery smoothly and without pain. "Patients can also shorten the time they have to have an endotracheal tube in place after surgery, can talk, exercise early, and shorten hospital stay," she said.
Vinmec achieved open-heart surgery without morphine for pain relief
Recently, at the 43rd World Conference on Anesthesia taking place in New York, Vinmec announced that it had successfully performed open-heart surgery, without using morphine to relieve pain.
Accordingly, Vinmec is the first hospital in the world to announce successful open-heart surgeries with the support of spinal vertebral plane (ESP) anesthesia.
This achievement was presented at the conference by Doctor Ho Thi Xuan Nga - Cardiovascular Center of Vinmec Central Park International Hospital (HCMC), attracting the attention of surgical and anesthesiologists.
Prof. Philippe Macaire - Director of Center for Anesthesia, Vinmec Times City International Hospital is a great contributor to this achievement of Vinmec. Right after Prof. Ki Jinn Chin - West Toronto Hospital (Canada) announced the implementation of ESP on the body in 2016, Prof. Macaire has grasped, improved to find the mechanism of action, complete from injection to infusion technique at a safe level. Currently, this method has been applied in practical treatment and brings high efficiency.
With the orientation to become the first pain-free hospital that does not use morphine, Vinmec adheres to world-standard training programs on enhanced recovery after surgery (ERAS). The success of open-heart surgery using ESP helps Vinmec go a long way in pain control in major surgery without the use of morphine.
To further improve the effectiveness of ESP, Vinmec is collaborating with the University of Montpellier in France to develop a postgraduate training program in advanced regional anesthetic techniques.
Vinmec said that it has performed hundreds of open heart surgeries without using morphine, the success rate is up to 100%. It is expected that this unit will deploy the application of morphine-free surgery on all surgeries related to the chest and abdomen in the near future.
Notably, this method can still be used for children from 3 kg or more and in elderly patients with impaired organ function such as liver, kidney, lung, etc. Accordingly, the patient absolutely did not use any morphine after surgery.
According to Tuoi Tre Newspaper
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