Continuous spinal anesthesia for aorta-femoral bypass surhery in patients with COPD


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Abstract

Aim of the study was to determine an optimal anesthesia technique for aorta-femoral bypass surgery in patients with chronic obstructive pulmonary disease (COPD). Material and methods. 58 patients with COPD undergoing aorta-femoral (bi-femoral) bypass were enrolled. We investigated oxygen transport and serum level of cortisol during surgery and in the early postoperative period. We also measured PO 2/FiO 2 ratio. The patients were randomized in three groups - general anesthesia (GA) (n=19), total intravenous anesthesia (TIVA) (n=19), continuous spinal anesthesia (CSA) (n=20). Results. PO 2/FiO 2 ratio was significantly higher in CSA group in comparison with GA and TIVA groups. For the patients under CSA cortisol serum level was lower then in GA and TIVA patients but statistically significant difference was reached only between GA and CSA groups at the second day after operation. Conclusions CSA is the most appropriate option in patients with COPD undergoing abdominal aortic surgery.

About the authors

I. V. Kostecky

Ural Academy of Medicine Department of Anesthesiology and Intensive Care; City Clinical Hospital №40. Ekaterinburg

N. S. Davidova

Ural Academy of Medicine Department of Anesthesiology and Intensive Care; City Clinical Hospital №40. Ekaterinburg

I. K. Penkova

Ural Academy of Medicine Department of Anesthesiology and Intensive Care; City Clinical Hospital №40. Ekaterinburg

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