Comparative analysis of the paravertebral block and epidural anesthesia in the complex of anesthetic support for laparoscopic kidney surgery: open randomized clinical study

BACKGROUND: Laparoscopic kidney surgery is performed mostly under general anesthesia. Regional techniques, primarily epidural anesthesia / analgesia (EA), help improve the surgical results. However, EA often accompanied by several complications and side effects. The thoracic paravertebral block (PVB) considered a reasonable effective alternative.
 OBJECTIVE: To conduct comparative analysis of effectiveness (GA) + PVB, GA alone, in laparoscopic surgery.
 MATERIALS AND METHODS: An open-label randomized clinical study enrolled 180 patients who underwent surgery. By using an online tool (https//www resource.studyrandomizer.com), were divided into three groups 1:1:1 ratio. Group 1 (n=60) group 2 GA, 3 EA. In each group, intra-, postoperative need for opioids, pain intensity on visual analog scale (VAS) 1, 6, 12, 24 h after surgery, activation time assessed. results compared. frequency nature when performing working with PVB studied.
 RESULTS: intraoperative opioids was greater comparable (p=0.137). remained consistently low (VAS score points) during observation period. it reached 5 points 12 4 surgery; (1, h) prolonged period significantly lowered opioid (p=0.045) contributed to earlier (p=0.001). Under ultrasound control, safe, effective.
 CONCLUSION: showed that complex anesthetic support provides safe can be used as alternative