Rationale use of combined spinal-epidural anesthesia for pain control of surgical interventions for abdominal tumors in children

Summary. Studies were conducted in 23 children operated concerning tumors of retroperitoneal space, renal tumors and ovarian tumors. Depending on the method of analgesia, patients were divided into two groups: in the first group has been used combined spinal-epidural analgesia (CSEA) and continuous intravenous infusion of fentanyl, in the second group has been used only the continuous intravenous infusion of fentanyl. Conducting of multimodal analgesia (CSEA and constant intravenous infusion of opioid analgesics) significantly reduces the negative effects of insufficient analgesia in children and results in effective analgesia after traumatic operations.