| Popis: |
The objective is: to increase the efficiency and safety of combined anesthesia techniques with the use epidural anesthesia and propofol during abdominal surgery in children by assessment of hemodynamic and clinical course of anesthesia. Material and methods. The children aged from 3 to 14 years with diseases and of abdominal cavity, were undergone to surgical interventions. To provide anesthesia protection 47% sick children 1 (main) group were used combined EA bupivacaine in combination with propofol, and 53% sick children 2 (control) group were performed combined anesthesia with fentanyl in combination with propofol. The results showed effective analgesia with minimum changes in central hemodynamics. Conclusions. 1. CEA bupivacaine in combination with propofol are characterized by smooth clinical course, prolonged analgesic effect (up to 3.5 hours), early awakening of patient from anesthesia. 2. In condition will CEA with use propofol at main stages of operational period were accompanied with minor, as well as compensate changes of basic indices of the central hemodynamic, that witness on ensuring effective protection of child’s body with anesthesia from operating trauma. |
