SOME ASPECTS OF ANESTHETIC MANAGEMENT AND POSTOPERATIVE INTENSIVE THERAPY IN PATIENTS SUBJECTED TO KIDNEY AUTOTRANSPLANTATION DURING SURGERY FOR RETROPERITONEAL SARCOMA
The article presents a retrospective analysis of anesthesia and postoperative period of five patients to whom was used autotransplantation of the kidney as a component of an operation of removing of the retroperitoneal sarcoma. To all patients were used anesthesia according to modern concepts of mul...
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| Format: | Article |
| Language: | Russian |
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Russian Academy of Sciences, Tomsk National Research Medical Center
2018-03-01
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| Series: | Сибирский онкологический журнал |
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| Online Access: | https://www.siboncoj.ru/jour/article/view/670 |
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| author | D. D. Morikov R. I. Rasulov V. V. Dvornichenko A. A. Muratov A. P. Ponomarenko |
| author_facet | D. D. Morikov R. I. Rasulov V. V. Dvornichenko A. A. Muratov A. P. Ponomarenko |
| author_sort | D. D. Morikov |
| collection | DOAJ |
| description | The article presents a retrospective analysis of anesthesia and postoperative period of five patients to whom was used autotransplantation of the kidney as a component of an operation of removing of the retroperitoneal sarcoma. To all patients were used anesthesia according to modern concepts of multimodal anesthesia based on low-flow anesthesia with Sevoflurane, thoracic epidural analgesia with Narupin and intravenous administration of Fentanyl. The following indicators were analyzed: doses of anesthetics, hemodynamic parameters, the volume of intraoperative infusion therapy, the volume of diuresis during the operation and in the postoperative period, the duration of postoperative administration of anticoagulants, the use of antibacterial drugs, the days of patients in the intensive care unit and the number of bed days spent in Hospital. It has been shown once again that the combination of low flow anesthesia with Sevoflurane, thoracic epidural analgesia with Narupin and intravenous administration of Fentanyl is a priority in the anesthetic support of such operations. Number of bed-days spent in intensive care and inpatient. Decreases with the improvement of both surgical techniques, both intra- and postoperative management of patients. |
| format | Article |
| id | doaj-art-3670895958c94d29a4b2415fa50c0b7c |
| institution | Matheson Library |
| issn | 1814-4861 2312-3168 |
| language | Russian |
| publishDate | 2018-03-01 |
| publisher | Russian Academy of Sciences, Tomsk National Research Medical Center |
| record_format | Article |
| series | Сибирский онкологический журнал |
| spelling | doaj-art-3670895958c94d29a4b2415fa50c0b7c2025-08-04T10:33:38ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682018-03-01171454910.21294/1814-4861-2018-17-1-45-49515SOME ASPECTS OF ANESTHETIC MANAGEMENT AND POSTOPERATIVE INTENSIVE THERAPY IN PATIENTS SUBJECTED TO KIDNEY AUTOTRANSPLANTATION DURING SURGERY FOR RETROPERITONEAL SARCOMAD. D. Morikov0R. I. Rasulov1V. V. Dvornichenko2A. A. Muratov3A. P. Ponomarenko4Irkutsk State Medical Academy of Postgraduate Education – Branch of the Russian Medical Academy of Continuous Professional Education; Irkutsk Regional Cancer CenterIrkutsk State Medical Academy of Postgraduate Education – Branch of the Russian Medical Academy of Continuous Professional Education; Irkutsk Regional Cancer CenterIrkutsk State Medical Academy of Postgraduate Education – Branch of the Russian Medical Academy of Continuous Professional Education; Irkutsk Regional Cancer CenterIrkutsk State Medical Academy of Postgraduate Education – Branch of the Russian Medical Academy of Continuous Professional Education; Irkutsk Regional Cancer CenterIrkutsk Regional Cancer CenterThe article presents a retrospective analysis of anesthesia and postoperative period of five patients to whom was used autotransplantation of the kidney as a component of an operation of removing of the retroperitoneal sarcoma. To all patients were used anesthesia according to modern concepts of multimodal anesthesia based on low-flow anesthesia with Sevoflurane, thoracic epidural analgesia with Narupin and intravenous administration of Fentanyl. The following indicators were analyzed: doses of anesthetics, hemodynamic parameters, the volume of intraoperative infusion therapy, the volume of diuresis during the operation and in the postoperative period, the duration of postoperative administration of anticoagulants, the use of antibacterial drugs, the days of patients in the intensive care unit and the number of bed days spent in Hospital. It has been shown once again that the combination of low flow anesthesia with Sevoflurane, thoracic epidural analgesia with Narupin and intravenous administration of Fentanyl is a priority in the anesthetic support of such operations. Number of bed-days spent in intensive care and inpatient. Decreases with the improvement of both surgical techniques, both intra- and postoperative management of patients.https://www.siboncoj.ru/jour/article/view/670multimodal anesthesiareimplantation of kidneyretroperitoneal sarcoma |
| spellingShingle | D. D. Morikov R. I. Rasulov V. V. Dvornichenko A. A. Muratov A. P. Ponomarenko SOME ASPECTS OF ANESTHETIC MANAGEMENT AND POSTOPERATIVE INTENSIVE THERAPY IN PATIENTS SUBJECTED TO KIDNEY AUTOTRANSPLANTATION DURING SURGERY FOR RETROPERITONEAL SARCOMA Сибирский онкологический журнал multimodal anesthesia reimplantation of kidney retroperitoneal sarcoma |
| title | SOME ASPECTS OF ANESTHETIC MANAGEMENT AND POSTOPERATIVE INTENSIVE THERAPY IN PATIENTS SUBJECTED TO KIDNEY AUTOTRANSPLANTATION DURING SURGERY FOR RETROPERITONEAL SARCOMA |
| title_full | SOME ASPECTS OF ANESTHETIC MANAGEMENT AND POSTOPERATIVE INTENSIVE THERAPY IN PATIENTS SUBJECTED TO KIDNEY AUTOTRANSPLANTATION DURING SURGERY FOR RETROPERITONEAL SARCOMA |
| title_fullStr | SOME ASPECTS OF ANESTHETIC MANAGEMENT AND POSTOPERATIVE INTENSIVE THERAPY IN PATIENTS SUBJECTED TO KIDNEY AUTOTRANSPLANTATION DURING SURGERY FOR RETROPERITONEAL SARCOMA |
| title_full_unstemmed | SOME ASPECTS OF ANESTHETIC MANAGEMENT AND POSTOPERATIVE INTENSIVE THERAPY IN PATIENTS SUBJECTED TO KIDNEY AUTOTRANSPLANTATION DURING SURGERY FOR RETROPERITONEAL SARCOMA |
| title_short | SOME ASPECTS OF ANESTHETIC MANAGEMENT AND POSTOPERATIVE INTENSIVE THERAPY IN PATIENTS SUBJECTED TO KIDNEY AUTOTRANSPLANTATION DURING SURGERY FOR RETROPERITONEAL SARCOMA |
| title_sort | some aspects of anesthetic management and postoperative intensive therapy in patients subjected to kidney autotransplantation during surgery for retroperitoneal sarcoma |
| topic | multimodal anesthesia reimplantation of kidney retroperitoneal sarcoma |
| url | https://www.siboncoj.ru/jour/article/view/670 |
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