Multimodal anesthesia and analgesia at the stages of the perioperative period in children with abdominal surgical pathology

Aim of the study was assess both the effectiveness and safety of anesthetic management and optimizing postoperative anesthesia under conditions of multimodal anesthesia and analgesia during abdominal operations in children.

Patients and methods. The authors examined 58 children aged 1 to 17 years with abdominal operations (malformations, diseases, and abdominal organ injuries). To ensure anesthetic protection, patients underwent combined general anesthesia with propofol and fentanil (induction) with inhalation of sevoflurane + propofol intra venous (maintenance) in combination with epidural blockade with bupivacaine.

Results. According to surgical intervention, the arrangement of perioperative analgesic protection provided a favorable correction of the hemodynamic status of patients, a decrease in inhalation anesthetic, promoted a smooth course of the postoperative period, a long painless period, an excellent psychoemotional background, and rapid postoperative recovery.

Contribution.
Satvaldieva E.A., Fayziev O.Ya. — concept and design of the study;
Fayziev O.Ya., Yusupov A.S. — collection and processing of material;
Fayziev O.Ya. — text writing;
Satvaldieva E.A., Uglitsky A.K. — editing
All co-authors — approval of the final version of the article, responsibility for the integrity of all its parts.

Conflict of interest. The authors declare no conflict of interest.

Acknowledgment. The study had no sponsorship.

Received: February 10, 2021
Accepted: February 22, 2021
Published: March 10, 2021  

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