Key words: hip replacement, spinal anesthesia, epidural anesthesia, hepatic function.
- Abstract
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The objective of the work is to assess the influence of spinal and epidural anesthesia with controlled hypotensive effect on hepatic function in patients in total hip replacement.
Materials and Methods. There has been studied the dynamics of hepatic enzymes and bilirubin indexes in 80 patients in hip replacement. Depending on the anesthesia method, three groups were considered: with spinal and epidural anesthesia with controlled hypotensive effect and normotensive spinal anesthesia using routine technique.
Conclusion. Central segmental blocking with controlled intraoperative hypotension have no adverse effect on hepatic function that is confirmed by minor changes of the indexes of the studied biochemical tests, which in none of the investigations have not been out of the limits of ordinary values and have not differed from those in the control group with normotensive spinal anesthesia.