АНАЛІЗ ЕФЕКТИВНОСТІ МУЛЬТИМОДАЛЬНОЇ АНЕСТЕЗІЇ, ЯК КОМПОНЕНТА СТРАТЕГІЇ ERAS, У ХВОРИХ ПІСЛЯ РЕЗЕКЦІЇ ТА ПРОТЕЗУВАННЯ АНЕВРИЗМИ ЧЕРЕВНОГО ВІДДІЛУ АОРТИ

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Анотація

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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