Мультимодальная анестезия и обезболивание на этапах периоперационного периода у детей с абдоминальной хирургической патологией

Аннотация

Was assessing both the effectiveness and safety of anesthetic management and optimizing postoperative anesthesia under con- ditions of multimodal anesthesia abdominal operations in children. The authors examined 61 children aged 1 to 14 years with ab- dominal operations (malformations, diseases, and abdominal organ injuries). To ensure anesthetic protection, patients underwent combined general anesthesia with propofol and fentanyl (induction) with inhalation of sevoflurane + propofol intra venous (mainte- nance) in combination with epidural blockade with bupivacaine. According to surgical intervention, the arrangement of periopera- tive analgesic protection provided a favorable correction of the hemodynamic status of patients, a decrease in inhalation anesthetic, promoted a smooth course of the postoperative period, a long painless period, an excellent psychoemotional background, and rapid pKoesytwopoerrdast:i vMeu rleticmovoedrayl. Anesthesia and Analgesia; Epidural Anesthesia; Propofol and Fentanyl; Inhalation of Sevoflurane, Abdominal Surgery in Children; Central Hemodynamics; Postoperative Period Abbreviations FT: Fast Tracts; MVC: Minute Volume of Blood Circulation: MAP: Mean Arterial Pressure; SV: Stroke Volume; ECG: Echocardiography; SpO2: Saturation Oxygen; SBP: Mean Diastolic Pressure; DBP: Diastolic Blood Pressure; BP: Arterial Pressure