EVALUATION OF SYMPATHETIC BLOCKADE UNDER THORACIC EPIDURAL VERSUS BILATERAL PARAVERTEBRAL ANESTHESIAS DURING HIGH-TRAUMATICITY OPERATIONS ON THE UPPER ABDOMINAL ORGANS
Objective: to compare the degree of sympathetic blockade caused by thoracic epidural or bilateral paravertebral anesthesia. Superior mesenteric artery blood flow was measured calculating the coefficient of flow resistance (resistance index) as an indicator of the degree of sympathetic block in patie...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2017-11-01
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| Series: | Вестник анестезиологии и реаниматологии |
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| Online Access: | https://www.vair-journal.com/jour/article/view/7 |
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| author | A. M. Dzyadzko L. S. Bolonkin A. F. Minov A. B. Piskun O. A. Chugunova M. L. Katin A. A. Brukhatsky A. M. Fedoruk A. E. Shcherba |
| author_facet | A. M. Dzyadzko L. S. Bolonkin A. F. Minov A. B. Piskun O. A. Chugunova M. L. Katin A. A. Brukhatsky A. M. Fedoruk A. E. Shcherba |
| author_sort | A. M. Dzyadzko |
| collection | DOAJ |
| description | Objective: to compare the degree of sympathetic blockade caused by thoracic epidural or bilateral paravertebral anesthesia. Superior mesenteric artery blood flow was measured calculating the coefficient of flow resistance (resistance index) as an indicator of the degree of sympathetic block in patients undergoing high-traumaticity operations on the upper abdominal organs under thoracic epidural or bilateral paravertebral anesthesia. The patients of both groups were noted to develop sympathetic blockade with a statistically significant reduction in vascular resistance (resistance index) of the superior mesenteric artery and with an increase in blood flow in the visceral bed. The degree of sympathetic blockade was statistically significantly higher in patients under epidural anesthesia. Conclusion. Bilateral thoracic paravertebral blockade decreases sympathetic nervous system activation and may be used during high-traumaticity surgery if there are existing or predictable contraindications to epidural anesthesia. |
| format | Article |
| id | doaj-art-381ea1b19fce4665a5d4c15070fd5c32 |
| institution | Kabale University |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2017-11-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-381ea1b19fce4665a5d4c15070fd5c322025-08-20T03:56:33ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532017-11-01121344010.21292/2078-5658-2015-12-1-34-407EVALUATION OF SYMPATHETIC BLOCKADE UNDER THORACIC EPIDURAL VERSUS BILATERAL PARAVERTEBRAL ANESTHESIAS DURING HIGH-TRAUMATICITY OPERATIONS ON THE UPPER ABDOMINAL ORGANSA. M. Dzyadzko0L. S. Bolonkin1A. F. Minov2A. B. Piskun3O. A. Chugunova4M. L. Katin5A. A. Brukhatsky6A. M. Fedoruk7A. E. Shcherba8Республиканский научно-практический центр «Трансплантации органов и тканей» на базе УЗ «9-я городская клиническая больница», г. Минск, БеларусьРеспубликанский научно-практический центр «Трансплантации органов и тканей» на базе УЗ «9-я городская клиническая больница», г. Минск, БеларусьРеспубликанский научно-практический центр «Трансплантации органов и тканей» на базе УЗ «9-я городская клиническая больница», г. Минск, БеларусьРеспубликанский научно-практический центр «Трансплантации органов и тканей» на базе УЗ «9-я городская клиническая больница», г. Минск, БеларусьРеспубликанский научно-практический центр «Трансплантации органов и тканей» на базе УЗ «9-я городская клиническая больница», г. Минск, БеларусьРеспубликанский научно-практический центр «Трансплантации органов и тканей» на базе УЗ «9-я городская клиническая больница», г. Минск, БеларусьРеспубликанский научно-практический центр «Трансплантации органов и тканей» на базе УЗ «9-я городская клиническая больница», г. Минск, БеларусьРеспубликанский научно-практический центр «Трансплантации органов и тканей» на базе УЗ «9-я городская клиническая больница», г. Минск, БеларусьРеспубликанский научно-практический центр «Трансплантации органов и тканей» на базе УЗ «9-я городская клиническая больница», г. Минск, БеларусьObjective: to compare the degree of sympathetic blockade caused by thoracic epidural or bilateral paravertebral anesthesia. Superior mesenteric artery blood flow was measured calculating the coefficient of flow resistance (resistance index) as an indicator of the degree of sympathetic block in patients undergoing high-traumaticity operations on the upper abdominal organs under thoracic epidural or bilateral paravertebral anesthesia. The patients of both groups were noted to develop sympathetic blockade with a statistically significant reduction in vascular resistance (resistance index) of the superior mesenteric artery and with an increase in blood flow in the visceral bed. The degree of sympathetic blockade was statistically significantly higher in patients under epidural anesthesia. Conclusion. Bilateral thoracic paravertebral blockade decreases sympathetic nervous system activation and may be used during high-traumaticity surgery if there are existing or predictable contraindications to epidural anesthesia.https://www.vair-journal.com/jour/article/view/7paravertebral anesthesiaepidural anesthesiasympathetic blockadearterial resistance index |
| spellingShingle | A. M. Dzyadzko L. S. Bolonkin A. F. Minov A. B. Piskun O. A. Chugunova M. L. Katin A. A. Brukhatsky A. M. Fedoruk A. E. Shcherba EVALUATION OF SYMPATHETIC BLOCKADE UNDER THORACIC EPIDURAL VERSUS BILATERAL PARAVERTEBRAL ANESTHESIAS DURING HIGH-TRAUMATICITY OPERATIONS ON THE UPPER ABDOMINAL ORGANS Вестник анестезиологии и реаниматологии paravertebral anesthesia epidural anesthesia sympathetic blockade arterial resistance index |
| title | EVALUATION OF SYMPATHETIC BLOCKADE UNDER THORACIC EPIDURAL VERSUS BILATERAL PARAVERTEBRAL ANESTHESIAS DURING HIGH-TRAUMATICITY OPERATIONS ON THE UPPER ABDOMINAL ORGANS |
| title_full | EVALUATION OF SYMPATHETIC BLOCKADE UNDER THORACIC EPIDURAL VERSUS BILATERAL PARAVERTEBRAL ANESTHESIAS DURING HIGH-TRAUMATICITY OPERATIONS ON THE UPPER ABDOMINAL ORGANS |
| title_fullStr | EVALUATION OF SYMPATHETIC BLOCKADE UNDER THORACIC EPIDURAL VERSUS BILATERAL PARAVERTEBRAL ANESTHESIAS DURING HIGH-TRAUMATICITY OPERATIONS ON THE UPPER ABDOMINAL ORGANS |
| title_full_unstemmed | EVALUATION OF SYMPATHETIC BLOCKADE UNDER THORACIC EPIDURAL VERSUS BILATERAL PARAVERTEBRAL ANESTHESIAS DURING HIGH-TRAUMATICITY OPERATIONS ON THE UPPER ABDOMINAL ORGANS |
| title_short | EVALUATION OF SYMPATHETIC BLOCKADE UNDER THORACIC EPIDURAL VERSUS BILATERAL PARAVERTEBRAL ANESTHESIAS DURING HIGH-TRAUMATICITY OPERATIONS ON THE UPPER ABDOMINAL ORGANS |
| title_sort | evaluation of sympathetic blockade under thoracic epidural versus bilateral paravertebral anesthesias during high traumaticity operations on the upper abdominal organs |
| topic | paravertebral anesthesia epidural anesthesia sympathetic blockade arterial resistance index |
| url | https://www.vair-journal.com/jour/article/view/7 |
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