title: [Combined inhalation-epidural anesthesia during highly traumatic abdominal operations].
abstract: Sixty-nine patients from 2 groups were examined to optimize anesthesiological support of highly traumatic abdominal interventions. Whether graded prolonged epidural infusion of 0.3% naropine solution could be combined with low-flow anesthesia with isoflurane and oxide-oxygen mixture, which could ensure adequate actinociception and completely refuse narcotic analgesics, was studied. The proposed type of combined inhalation-epidural anesthesia creates favorable conditions for the cardiovascular system to function, by increasing cardiac output by 25-30%, by lowering postload by 16% and heart rate by 11-17% with the stability of the remaining central hemodynamic parameters, provides a significant depth of anesthesia and a sufficient stability of regulatory systems and homeostasis during highly traumatic abdominal operations.
authors.forename: A M
authors.initials: AM
authors.lastname: Ovezov
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000577:Amides; D000767:Anesthesia, Epidural / Q000592:standards; D000769:Anesthesia, Inhalation / Q000592:standards; D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation; D000779:Anesthetics, Local; D002318:Cardiovascular Diseases / Q000517:prevention & control; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D007530:Isoflurane; D008297:Male; D008875:Middle Aged; D000077212:Ropivacaine
chemical_list: D000577:Amides; D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation; D000779:Anesthetics, Local; D000077212:Ropivacaine; D007530:Isoflurane