FAST-TRACK ANESTHESIA DURING ABDOMINAL CAVITY SURGERY IN PATIENTS WITH OBESITY

Implementation of the Fast-track anesthesia is interesting for the Fast-track surgery concept realization in obese patients. We evaluated the influence of combined inhalation-epidural anesthesia (CIEA) and total intravenous anesthesia (TIVA) on the recovery of 56 patients with BMI 37 ± 6 kg/m2 after laparotomy. CIEA-group patients (n = 28) in comparison with TIVA-group pa- tients (n = 28) were extubated earlier (18 ± 10 min vs 37 ± 14 min, accordingly, p < 0.05), developed less amount of pulmonary complications (3 vs 12 cases, accordingly, p < 0.05), felt less level of pain (100 vs 50 % of patients, accordingly, p < 0.05), restored earlier the peristalsis on the 1st day (36 vs 0 % of patients accordingly, p < 0.05) and on the 2nd day (90 vs 39 % of patients, accordingly, p < 0.05). We concluded that CIEA can be considered as a Fast-track technique of anesthesia during laparotomy in obese patients.

Short link for this post: http://promedosvity.in.ua?lang=en&p=3250

Leave a Reply

You must be logged in to post a comment.