dr.shmonin

EARLY MOBILIZATION PATHWAYS IN PATIENTS UNDERGOING OPEN HEART SURGERY UNDER MULTICOMPONENT GENERAL ANESTHESIA WITH HIGH THORACIC EPIDURAL ANESTHESIA

Open-heart surgeries were performed on 60 patients, whom we divided into two groups. Thirty of them underwent the procedure with the use of multi-component general anesthesia and intravenous fentanyl analgesia in the postoperative period. The other group of 30 patients underwent catheterization of the high epidural space with the administration of ropivacaine before induction and, in the postoperative period, ropivacaine and fentanyl. We conducted a study on central hemodynamic parameters and analgesic effects.
It has been established that for patients in the second group according to the ERAS strategy, hemodynamic support and effective pain management can contribute to early patient mobilization after surgery. Early mobilization, in turn, can expedite recovery and reduce the length of hospital stay, ultimately leading to potential cost savings.

17.04.2024