Abstract
Introduction. Long-term blocks reduce the depressive effect on external respiration parameters and improve analgesia in the postoperative period. Aim of the research. Assessment of external respiration parameters and analgesia, using a visual analog scale (VAS), in the postoperative period with different variants of combined general anesthesia with artificial lung ventilation (ALV) amid neuroleptanalgesia (NLA) and extradural morphine blocks. Materials and methods. The influence of variants of combined general anesthesia with artificial ventilation on the indices of external respiration and the level of analgesia in the postoperative period was determined in 162 patients with surgical diseases of the abdominal cavity under different variants of combined general anesthesia with artificial ventilation and extradural block with morphine in comparable groups. In group 1 (n = 64), patients were operated under combined general anesthesia with ALV and NLA drugs. In group 2, patients (n = 54) were operated under combined general anesthesia with artificial ventilation and epidural analgesia with morphine; in group 3 (n = 46), combined general anesthesia with artificial ventilation was carried out under conditions of paravertebral analgesia with morphine. Results. Changes in the parameters of external respiration and the level of analgesia by visual analog scale in the postoperative period in the studied groups of patients. Conclusion. It was revealed that combined general anesthesia with ALV against the background of paravertebral administration of morphine provides less significant depression of external respiration parameters and prolonged effective pain relief in the postoperative period.
Published Version
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