ISSN (print) 1726-9806     ISSN (online) 1818-474X
No. 1 (2017), ANESTHESIOLOGY
No. 1 (2017)
ANESTHESIOLOGY

Morphine Epidural Analgesia in Spine Deformity Surgery

Published 24.03.2017
Konstantin Yu. Ukolov
Central Institute of Traumatology and Orthopedics named after N.N. Priorov, Moscow, Russia
https://orcid.org/0000-0002-5479-3208
V.L. Aizenberg
Central Institute of Traumatology and Orthopedics named after N.N. Priorov, Moscow, Russia
https://orcid.org/0000-0002-6993-8422
N.I. Arzhakova
Central Institute of Traumatology and Orthopedics named after N.N. Priorov, Moscow, Russia
https://orcid.org/0000-0002-5094-4128
#20171
PDF_2017-1_33-37 (Russian)

Keywords

spine deformity
scoliosis surgery
dorsal correction
general anesthesia
morphine general anesthesia

How to Cite

Ukolov K.Y., Aizenberg V.L., Arzhakova N.I. Morphine Epidural Analgesia in Spine Deformity Surgery. Annals of Critical Care. 2017;(1):33–37. doi:10.21320/1818-474X-2017-1-33-37.
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Abstract

Objective. Introduced comparative analysis of two methods of anesthesia during surgery dorsal correction of the spine deformity. Material and Methods. The quality of analgesia was assessed in 123 patients using hemodynamic parameters, biochemistry markers of stress, blood loss value and frequency of early postoperative complications. Total 42 patient underwent surgery under general anesthesia with mechanical ventilation, using sevoflurane and fentanyl. In 81 patients used general anesthesia, combined with epidural analgesia using 15 morphine (100 mcg/kg in 10–12 ml of saline). Results. Use of morphine epidural analgesia in addition to general anesthesia increase quality of nociception defence, significantly decrease consumption of narcotic analgesics, anesthetics and relaxants, decrease blood loss by 10 % and frequency of complications by 20 %.

PDF_2017-1_33-37 (Russian)

References

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