The Role of Regional Anesthesia in the Development of Surgical Stress Response during Major Spine Surgery

A. A Ezhevskaya; A. M Ovechkin

doi:10.17816/RA36199

Regional Anesthesia and Acute Pain Management ›› 2013, Vol. 7 ›› Issue (4) : 25 -29. DOI: 10.17816/RA36199

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The Role of Regional Anesthesia in the Development of Surgical Stress Response during Major Spine Surgery

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Abstract

Objective: optimization of regional anesthesia for major spine surgery and the evaluation of its effects on the endocrine-metabolic and inflammatory stress response. This study included 205 patients. Two groups of patients were randomly allocated: Group 1 used thoracic epidural analgesia and general anesthesia, and Group 2 had general anesthesia. The study has shown that epidural analgesia provided better pain relief, less blood loss during and after surgery in spinal deformity surgery. The use of epidural analgesia provided better pain control, less bleeding, and a lower surgical stress response than general anesthesia during major spine surgery.

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spine surgery / thoracic epidural anesthesia / surgical stress response / inflammation

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A. A Ezhevskaya, A. M Ovechkin. The Role of Regional Anesthesia in the Development of Surgical Stress Response during Major Spine Surgery. Regional Anesthesia and Acute Pain Management, 2013, 7(4): 25-29 DOI:10.17816/RA36199

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