[Adequacy of combined spinal and epidural anesthesia during upper-abdominal operations].
The paper provides a comparative evaluation of the protective effects of combined spinal epidural anesthesia with artificial ventilation (AV) (n=86) versus combined general anesthesia with AV (n=53) from the surgical stress response at abdominal surgery. The surgical stress was estimated by the activities of the sympathoadrenal system, the hypothalamo-pituitary-adrenocortical system, the serum complement system, and lipid peroxidation, and by the blood level of glucose. The findings suggest that the combined spinal epidural anesthesia with AV has a more valid protective activity against poor surgery-associated neurohumoral, hemodynamic, and immunological changes.
Strashnov
V I
VI
Zabrodin
O N
ON
Bandar
A
A
Katysheva
N S
NS
Bondarenko
V L
VL
D000005:Abdomen / Q000601:surgery; D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods*; D001786:Blood Glucose / Q000032:analysis; D005260:Female; D005767:Gastrointestinal Diseases / Q000601:surgery*; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D007030:Hypothalamo-Hypophyseal System / Q000378:metabolism; D015227:Lipid Peroxidation; D008297:Male; D008315:Malondialdehyde / Q000097:blood; D008875:Middle Aged; D008991:Monitoring, Physiologic; D010913:Pituitary-Adrenal System / Q000378:metabolism; D012121:Respiration, Artificial; D013315:Stress, Psychological / Q000175:diagnosis / Q000378:metabolism / Q000517:prevention & control*
D001786:Blood Glucose; D008315:Malondialdehyde; D006854:Hydrocortisone