Open AccessTHE EFFECTIVENESS OF NEW BLOOD-SAVING TECHNIQUES IN PEDIATRIC SPINAL SURGERY
Author(s) -
Г Э Ульрих,
Eduard Ulrikh,
Elena Georgyevna Kachalova,
Aleksandr Valentinovich Ushakov
Publication year - 2005
Publication title -
hirurgiâ pozvonočnika
Language(s) - English
Resource type - Journals
eISSN - 2313-1497
pISSN - 1810-8997
DOI - 10.14531/ss2005.1.95-99
Subject(s) - medicine , anesthesia , spinal anesthesia , clonidine , scoliosis , blood loss , blockade , lumbar , blood volume , surgery , receptor
The results of application of new blood-saving techniques in surgeries for scoliosis were compared in 289 patients aged from 9 months to 17 years, and the analysis of their efficiency was performed. The authors have estimated volume and velocity of blood loss, and changes in hemoglobin rate under balanced anesthesia with spinal blockade, clonidine hypotensive anesthesia and acute preoperative isovolemic hemodilution with autoplasma. The highest efficiency of spinal blockade in lumbar surgery is marked. Hemodilution was found more effective in comparison with hypotensive anesthesia in the patients with CDI correction of scoliosis. Clonidine hypotensive anesthesia (the only variant of blood-saving anesthesia used for hemivertebrae extirpation in our study) has appeared inefficient.