Combined anaesthesia as method of choice at a radical cystectomy

Summary. The goal of this study was to estimate efficiency and safety of the using the combination of combined spinal-epidural anaesthesia with the general anaesthesia for surgical treatment the patients with urinary cancer. Seventy five patients have been included to the study, which are scheduled for radical cystectomy. In group A n = 50, were included patients which had the combination of combined spinal-epidural anesthesia with the general anaesthesia. For postoperative analgesia in this group was used prolonged epidural analgesia with bupivacaine 0,125% — 6–8 ml/hour. In group B n = 25 patients, which had only general anesthesia. For postoperative analgesia in this group was used strong opioid omnopon 2% — 1 ml, 3–4 times per day. It was controlled noninvasive blood pressure, heart rate, pain assessment with visual analogue scale, consciousness recovery time after anesthesia, glucose plasma level, the amount of blood loss during surgery. By this study have been shown that in patients in group A the total dose of i.v. anesthetics and muscle relaxants were dramatically low in comparing with group B. The blood loss was lower in group A than in group B. The hemodynamic parameters were stabile in both groups. The glucose plasma level was similar between two groups. The pain level in postoperative period was significantly low in patients group A than in group B.