Email this article Multimodal combined anesthesia in lung surgery patients with low functional respiratory reserve
- Authors: Gruzdev V.E.1, Gorobets E.S.1
-
Affiliations:
- Federal State Budgetary Institution “The N. N. Blokhin Cancer Research Center of the Russian Academy of Medical Sciences
- Issue: Vol 7, No 3 (2013)
- Pages: 26-30
- Section: Articles
- URL: https://ogarev-online.ru/1993-6508/article/view/36193
- DOI: https://doi.org/10.17816/ра.v7i3.36193
- ID: 36193
Cite item
Full Text
Abstract
Multimodal combined anesthesia (MMCA) as a three-component thoracic epidural blocade with small doses of fentanil, ropivakain and adrenalin in combination with endotracheal anesthesia with sevofluran provides reliable anesthesiologic defence, early extubation and postoperation rehabilitation in patients undergone thoracic operations. This rationale gave grounds to apply this method in patients with lung cancer accompanied by COPD and severe impairment of ventilation reserves. We demonstrate successful experience of MMCA application in 13 patients including 8 patients undergone pneumonectomy. Baseline parameters of spirometry in all patients were lower than conventional limits of functional operability.
Full Text
##article.viewOnOriginalSite##About the authors
V. E. Gruzdev
Federal State Budgetary Institution “The N. N. Blokhin Cancer Research Center of the Russian Academy of Medical Sciences115478, Moscow, Russian Federation
E. S. Gorobets
Federal State Budgetary Institution “The N. N. Blokhin Cancer Research Center of the Russian Academy of Medical Sciences115478, Moscow, Russian Federation
References
- Lier F. at al. Epidural Analgesia Is Associated with Improved Health Outcomes of Surgical Patients with Chronic Obstructive Pulmonary Disease // Anesthesiology. 2011; 115: 315-321
- Unic-Stojanovic D., Babic S., Jovic M. Benefits, Risks and Complications of Perioperative Use of Epidural Anesthesia // Med Arh. 2012 Oct; 66(5): 340-343.
- Benzo R. Lung volume reduction surgery: nonpharmacolodical approach // Current Opinion in Anesthesiology. 2011; 24: 44-48.
- Горобец Е. С., Груздев В. Е., Зотов А. В. и соавт. Мультимодальная комбинированная анестезия при травматичных операциях // Общая реаниматология. 2009; Y (3): 45-50.
- Горобец Е. С., Груздев В. Е. Варианты комбинированной анестезии при онкологических операциях на легких // Регионарная анестезия. 2008; 2 (1): 14-20.
- Seigne P. W., Hartigan P. M., Body S. C. Anesthetic considerations for patients with severe emphysematous lung disease // Int. Anesthesiol. Clin. 2000; 38: 1-23.
- Qaseem A., Snow V., Fitterman N. et al. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians // Ann Intern Med. 2006; 144: 575-580.
- Fukuse T., Satoda N., Hijiya K., Fujinaga T Importance of a comprehensive geriatric assessment in prediction of complications following thoracic surgery in elderly patients // Chest. 2005; 127: 886-891.
- Vodinh J., Bonnet F., Touboul C. et al. Risk factors of postoperative pulmonary complications after vascular surgery // Surgery. 1989; 105: 360-365.
- Fielding L. P., Phillips R. K., Hittinger R. Factors influencing mortality after curative resection for large bowel cancer in elderly patients // Lancet. 1989; 1: 595-597.
- Benumof J. L. Anesthesia for Thoracic Surgery, 2nd ed. Saunders, 1995.
- Морган-мл. Дж. Э., Михаил М. С. Клиническая анестезиология. М.: Бином, 2000 г., кн.2, 178 с.
- Бараш П., Куллен Б., Стэлтинг Р. Клиническая анестезиология. М.: Мед. литература, 2004; 251 с.
Supplementary files
