SOME ASPECTS OF ANESTHETIC MANAGEMENT AND POSTOPERATIVE INTENSIVE THERAPY IN PATIENTS SUBJECTED TO KIDNEY AUTOTRANSPLANTATION DURING SURGERY FOR RETROPERITONEAL SARCOMA

Abstract

The article presents a retrospective analysis of anesthesia and postoperative period of five patients to whom was used autotransplantation of the kidney as a component of an operation of removing of the retroperitoneal sarcoma. To all patients were used anesthesia according to modern concepts of multimodal anesthesia based on low-flow anesthesia with Sevoflurane, thoracic epidural analgesia with Narupin and intravenous administration of Fentanyl. The following indicators were analyzed: doses of anesthetics, hemodynamic parameters, the volume of intraoperative infusion therapy, the volume of diuresis during the operation and in the postoperative period, the duration of postoperative administration of anticoagulants, the use of antibacterial drugs, the days of patients in the intensive care unit and the number of bed days spent in Hospital. It has been shown once again that the combination of low flow anesthesia with Sevoflurane, thoracic epidural analgesia with Narupin and intravenous administration of Fentanyl is a priority in the anesthetic support of such operations. Number of bed-days spent in intensive care and inpatient. Decreases with the improvement of both surgical techniques, both intra- and postoperative management of patients.