COMBINED ANESTHESIA BY SEVOFLURANE AND FENTANYL IN ELDERLY PATIENTS WITH DIFFERENT REACTIVITY OF THE CARDIOVASCULAR AND RESPIRATORY SYSTEMS

Aim. To evaluate anesthesia according to the central hemodynamic, oxygen, acid-base, temperature homeostasis, neuromuscular conduction monitoring the depth of anesthesia and recovery postanesthesia consciousness.

Materials and methods. The research was performed in 78 patients who underwent major abdominal surgery under combined anesthesia. All patients were divided into 4 groups depending on the characteristics induced dynamics of constant potential.

Results. Anesthesia in patients with high cardiovascular and respiratory systems leads to the development of hyperdynamic type of circulation, increased fentanyl consumption, and an increased risk of slow postoperative awakening. In patients of other groups was observed stable during combined anesthesia.

Conclusion. In patients with high cardiovascular and respiratory systems, the use of combined general and epidural anesthesia is advisable. In patients of other groups, the use of combined anesthesia provides adequate protection against operational stress.