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Updated: Aug 17, 2026

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Published on: May 26, 2023
[Combined inhalation-epidural anesthesia during highly traumatic abdominal operations]
Abstract:
Sixty-nine patients from 2 groups were examined to optimize anesthesiological support of highly traumatic abdominal interventions. Whether graded prolonged epidural infusion of 0.3% naropine solution could be combined with low-flow anesthesia with isoflurane and oxide-oxygen mixture, which could ensure adequate actinociception and completely refuse narcotic analgesics, was studied. The proposed type of combined inhalation-epidural anesthesia creates favorable conditions for the cardiovascular system to function, by increasing cardiac output by 25-30%, by lowering postload by 16% and heart rate by 11-17% with the stability of the remaining central hemodynamic parameters, provides a significant depth of anesthesia and a sufficient stability of regulatory systems and homeostasis during highly traumatic abdominal operations.
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