Роль проводниковой анальгезии в детской онкохирургии при торакальных оперативных вмешательствах (Е.И. Белоусова, Н.В. Матинян, А.И. Салтанов)

The article presents the results of prospective randomized study consisted of patients (n = 90) with malignant tumors of lungs and chest wall, undergoing surgeries for lung, pleura resections, lobectomy, one or several ribs resection under combined anesthesia. The choice of analgetic component of combined anesthesia for the first group (n = 50) was paravertebral block (PVB), for the second group (n = 40) — high thoracic epidural block (EB). Induction of anesthesia was performed with inhalational Sevoflurane for minors and with intravenous Diprivan for seniors. Fentanyl and myorelaxants (cysatracurium or rocuronium bromide) were administered before intubation. Anesthesia was maintained with inhalational Sevoflurane (1 MAC) in all the cases. Paravertebral and epidural blocks were performed according to current protocols. It was determined that analgesic effect of prolonged paravertebral block for operative pain control after thoracotomy was equal to the one of epidural block. Key words: paravertebral block, epidural analgesia, thoracic surgery, pediatric oncology. (Onkopediatriya – Oncopediatrics. 2014; 2: 22-26)