BACKGROUND
Intraoperative anesthesia in armed conflicts has certain features. Anesthesiologists face several objectives, i.e. stabilization of clinical status, choice of controlled method of anesthesia protecting against surgical aggression with early restoration of vital functions and spontaneous breathing. At the same time, the role of regional anesthesia in shock has not been fully discovered.
OBJECTIVE
To evaluate the effect of regional anesthesia on the need or increase in intraoperative vasopressor support in patients with hemorrhagic shock following combat trauma.
MATERIAL AND METHODS
A retrospective cohort study included 146 victims and wounded with combat trauma and hemorrhagic shock. All ones underwent surgery under anesthesia at the stage of qualified medical care during special military operation within a month.
RESULTS
Shock grade II upon admission was detected in 92 (63%) victims, grade III — in 28 (19.2%) cases, grade I — 16 (11%) cases, grade IV — 10 (6.8%) cases. Regional anesthesia was used in 73.3% of cases (mainly as a part of combined anesthesia). Regional anesthesia required initiation or increase of vasopressor support in 4 (3.7%) of patients, and 19 (17.8%) ones needed for vasopressor support after induction of general anesthesia.
CONCLUSION
The need for vasopressor support was lower in patients undergoing regional anesthetic techniques compared to general anesthesia.