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Anesteziol Reanimatol · Jan 2015
[Effect of prolonged epidupal analgesia on respiratory function after major laparoscopic surgery].
- A A Malyshev, S V Sviridov, and I V Vedenina.
- Anesteziol Reanimatol. 2015 Jan 1;60(1):30-3.
UnlabelledThe article deals with a study of role of epidural analgesia, used as a part of intra- and postoperative analgesia in patients underwent major laparoscopic surgery (gastric resections, pancreas and duodenal resections, hemicolectomy, resections of colon).Patients And MethodsThe study included 127 patients aged 65 ± 13 years. Main group--patients who had undergone extensive and prolonged laparoscopic surgery; comparison group--patients after traditional open surgery. Terms of laparoscopic and open surgeries was similar Postoperatively we assessed dynamics ofpostoperative pain and physical activity (using appropriate scales), dynamics of respiratory function (spirometry) in with and without use of epidural analgesia.Conclusionmajor laparoscopic surgery accompanied with lower decreasing of speed and volume figures of spirometry if epidural analgesia is used as a part of intra- and postoperative analgesia.
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