Biomeditsina va amaliyot jurnali, 2022 №2
Subject of the article
HEMODYNAMIC STATE DURING SPINAL AND EPIDURAL ANESTHESIA IN PATIENTS WITH INCREASED BODY MASS INDEX DURING COLOPROCTOLOGICAL SURGERY (67-72)
Authors
MATLUBOV Mansur Murotovich NEMATULLOEV Tukhtasin Komilzhonovich
Institution
Samarkand State Medical Institute
Abstract
ANNOTATION Objective: to assess the hemodynamic status and anesthetic efficacy of SA and EA in patients with elevated BMI and obesity with preserved coronary reserves during coloproctological operations. Methods: 38 patients with a BMI of 25-34.9 kg/m2 with intact coronary reserves were under observation, in whom the status of the hemodynamic system was assessed depending on the degree of obesity. Results: The data obtained indicate a moderate activation of the sympathoco-adrenaline and hypothalamic-pituitary and adrenocortical apparatus systems in response to surgical injuries, which indicates the effectiveness of the applied variants of regional blockade. No complications were observed with the use of central neuraxial blocks. Postoperative epidural analgesia ensured smooth dynamics of the immediate postoperative periods and helped to reduce the period of rehabilitation of patients. Conclusions. Approved variants of central neuraxial blockades provide hemodynamic stability throughout the operation and are quite acceptable for anesthetic management of coloproctological operations in patients with a BMI of 25-34.9 kg/m2 and preserved coronary reserves. .
Key words
Key words: epidural anesthesia, spinal anesthesia, increased body mass index, coloproctological operations
Literature
1. Баевский Р.М., Кирилов С.З., Клецкин С.З. Математический анализ изменений сердечного ритма при стрессе. – М.: Наука, 1984. – 222 с. 2. Матлубов М. М. и др. Оптимизация анестезиологического подхода при колопроктологических операциях у больных с сопутствующим сердечно-сосудистым заболеванием (обзор литературы) //Достижения науки и образования. – 2019. – №. 12 (53). 3. Матлубов М. М., Нематуллоев Т. К., Хамдамова Э. Г. Сравнительная оценка гемодинамических эффектов спинальной анестезии в зависимости от положения больного после введения гипербарического раствора бупивакаина больным с гипертонической болезнью //Высшая школа: научные исследования. – 2020. – С. 100-107. 4. Ожирение и избыточный вес // Информационный бюллетень ВОЗ. – 2011. – №311. 5. Фирсова Л.И.Оптимизация спинномозговой анестезии у беременных женщин с высоким индексом массы тела при оперативном родоразрешении: Автореф. дис. канд. мед.наук. – Воронеж: Гос. мед. академия им Н.Н. Бурденко, 2010. – 23 с. 6. Dennis A.T., Castro J.M., Ong M., Carr C. Haemodynamics in obese pregnant women // Int. J. Obstet. Anesth. – 2012. – Vol. 21, №2. – P. 129-134.