[Hemodynamic features of anesthesiological maintenance of operations on the lungs in oncological practice when using high epidural anesthesia]. / Gemodinamicheskie osobennosti anesteziologicheskogo obespecheniia operatsii na legkikh v onkologicheskoi praktike pri ispol'zovanii vysokoi épidural'noi anestezii.

The investigation was aimed at studying the effects of epidural anesthesia with local anesthetics alone and in combination with Fentanyl on blood circulation (a comparison of effects of Markain with Naropin) against the background of the infusion of Diprivan by the purposeful concentration during anesthesiological maintenance of operations on the lungs in oncology. The investigation was carried out in 111 patients operated upon for lung cancer. Mildly reduced parameters of systemic hemodynamics when using local anesthetics with Fentanyl were revealed and more pronounced effects on blood circulation when using local anesthetics alone. Hemodynamic effects of Markain were not reliably different from those of Naropin. Thus, the both medicines can be equally used for epidural anesthesia as components of anesthesiological maintenance during operations on the lungs that provides an acceptable level of the antinociceptive protection.