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[The use of "Fast-Track" in pediatric urology]

E A Satvaldieva1,2, M U Shakarova1,2, I B Mamatkulov1,2

  • 1Department of Pediatric anesthesiology and resuscitation of Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan.

Urologiia (Moscow, Russia : 1999)
|September 13, 2022
PubMed

Insights

Spinal anesthesia (SA) offers superior hemodynamic stability and stress reduction in pediatric urology compared to general anesthesia. This approach facilitates faster recovery and shorter hospital stays for children undergoing urological procedures.

Area of Science:

  • Pediatric Anesthesiology
  • Urological Surgery
  • Perioperative Care

Background:

  • Evolving anesthesiology practices necessitate improved perioperative management.
  • Reducing surgical stress response is a key trend in patient care.
  • Optimizing anesthesia for pediatric urological procedures is crucial.

Purpose of the Study:

  • To evaluate the "fast-track" concept in pediatric urology.
  • To analyze systemic hemodynamics and stress markers during perioperative stages.
  • To compare spinal anesthesia (SA) with general anesthesia for stress response.

Main Methods:

  • Prospective and retrospective analysis of 42 children with urological disorders.
  • Treatment period: September 2016 to April 2021.
  • Evaluation of perioperative central hemodynamics and stress markers under spinal anesthesia.

Main Results:

  • Spinal anesthesia demonstrates evidence-based hemodynamic stability in pediatric patients.
  • SA exhibits a more pronounced stress-protective effect compared to general anesthesia.
  • Biochemical markers indicate a reduced stress response with SA.

Conclusions:

  • Combined SA for pediatric urological procedures effectively blocks stress reactions.
  • SA offers superior hemodynamic and metabolic stress prevention over general anesthesia.
  • Implementing a fast-track approach in pediatric urology improves postoperative recovery and reduces hospital stay duration.
Abstract

Keywords:
anestheticcomplicationsfast-trackpediatric urologyspinal anesthesia

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