Quantum electronic devices in the perioperative period in patients with lower limb amputation

Abstract

The authors present their experience in applying quantum electronic devices in patients undergoing lower limb amputations.Object. To develop a technique for potentiating the traditional multimodal anesthesia by optoelectronic devices with wavelength 650 nm (red range) and 470 nm (blue range) (manufactured in Russia) in amputation of lower extremities.Material and methods. Multimodal anesthesia with quantum electronic devices was performed in 48 patients (11 women and 37 men) aged 68–89 and having comorbidities. In the main group, for contact LED irradiation portable semiconductor LED device AFS к-630/670 emitting in red range with wavelength 650 ± 20 nm and portable AFS device emitting in blue range with wavelength 470 ± 10 nm and power 30 mW at the end of surgery were used. The above mentioned devices were made in the form of bracelets for non-invasive and non-contact application in the multimodal anesthesia during amputations of lower extremities. In the comparison group, multimodal anesthesia was not potentiated by contact LED irradiation.Results. The discussed Russian bracelets emitting in red and blue bands of the spectrum during amputation of lower extremities promoted the decrease of narcotic dosage (Fentanyl) during general multimodal anesthesia. In the main group, cardiac index increased at the end of surgery, and the total peripheral vascular resistance decreased if to compare to baseline values. In the comparison group, cardiac index increased somewhat less if to compare to baseline values, and the total peripheral vascular resistance decreased somewhat less if to compare to baseline values.Conclusion. The discussed bracelets emitting in red range (650 nm) which were applied during surgical interventions for the amputation of lower extremities and bracelets emitting in blue range (470 nm) which were applied at the end of surgery reduce the dose of narcotic preparations (Fentanyl) as well as stabilize hemodynamic parameters during surgery. Besides, in the immediate postoperative period, patients who survived amputation of lower extremities and in who the abovementioned bracelets were used do not require additional narcotic painkillers after amputation.