Bosenko K. V., Budnyuk O. O.

ANALYSIS OF THE EFFECTIVENESS OF MULTIMODAL ANESTHESIA AS A COMPONENT OF THE ERAS STRATEGY IN PATIENTS AFTER RESECTION AND PROSTHETICS OF ABDOMINAL AORTIC ANEURYSM

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About the author:

Bosenko K. V., Budnyuk O. O.

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METHODS AND METHODOLOGIES

Type of article:

Scientific article

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In the article below, we retrospectively investigated 2 methods of anesthetic support, and compared the effectiveness of a multimodal approach using inhalation anesthesia and epidural analgesia before general inhalation anesthesia without regional methods of anesthesia. They also assessed the impact of a multimodal approach on postoperative pain control and speed of recovery in patients undergoing resection and prosthetic abdominal aortic aneurysm. During the period from 2021 to 2024, 26 patients were registered at the University Clinic of the Odessa National Medical University and retrospectively examined. Data from a total of 26 patients (18 men and 8 women) were analyzed. We found that 14 patients (group I) received general anesthesia with inhaled anesthetic in combination with epidural analgesia, and 12 patients (group II) received inhalation anesthesia alone. There were no statistically significant differences between patients who received some form of anesthesia in terms of gender, age, and comorbidities. The length of hospital stay did not differ significantly between group 1 (13.1±6.0 days) and group 2 (14.5±6.8 days). Also in group I, who did not use opioid analgesics in the postoperative period, and more than 24 hours after surgery, there was a tendency to reduce postoperative pain and feel more comfortable. Multimodal anesthesia, based on epidural analgesia, provides better pain control and comfortable conditions for the patient during treatment, by reducing pain after surgery, reducing the need for narcotic analgesics and accelerating the recovery process.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 4, 175, 502-509 pages, index UDC 616-089.5-031.81:618.1-089

DOI:

10.29254/2077-4214-2024-4-175-502-509