Epidural anesthesia as the component of postoperative analgesia in children

Introduction. In pediatrics, the study of pain has also become a highly relevant task, which is intensively studied in the framework of pediatric surgery, oncology, anesthesiology, neurology, cardiology, gastroenterology, rheumatology, not counting palliative medi­cine, age-related physiology. Materials and methods. The study was conducted during the postoperative period in thirty four patients after urological surgery. For an objective assessment of the effectiveness of anesthesia, the following research methods were used: a clinical study with the determination of the intensity of pain on a visual analogue scale (VAS) and the determination of blood pressure, pulse oximetry, and echocardiographic study of central hemodynamic parameters. Results. Studies of the clinical picture over the course of the postoperative period with monitoring of blood pressure, oxygen saturation, pulse oximetry, studies of the subjective assessment of pain intensity according to VAS, and an echocardiographic method for studying central hemodynamic parameters showed the relative stability of patients after adequate pain relief. Conclusions. Multimodal epidural analgesia based on bupivacaine at a dose of 1.0 mg/kg reduces early postoperative complications, promotes rapid rehabilitation and recovery.