The system of anesthesiological support for coloproctological operations

Introduction . The prevalence of hemorrhoidal disease is 200 people per 1000 adult population, which 75% are professionally active people. choice anesthetic support affects not only the effectiveness operation, but also course early postoperative period. At same time, regardless use various variants neuroaxial blockades, most authors indicate development complications such as acute urinary retention and severe pain syndrome in Aim To substantiate evaluate proposed system anesthesiological for proctological operations. Material methods. study was conducted 100 patients who were divided into two groups 50 operations performed under conditions combined anesthesia (spinal + medical sedation). Spinal achieved with 0.5% isobaric bupivacaine solution, average dose 8.5 ± 0.12 mg. For drug sedation, a continuous infusion propofol used at target concentration 5–4–3 mg/kg hour. criterion including main group appointment period alpha 1 adrenoblocker tamsulosin hydrochloride 0.4 mg/day. Results discussion support, combination spinal using an solution 7.5 to 10.0 mg intravenous sedation hour, program based on multidirectional action mg/day allows high-quality safe surgical treatment. Conclusion administration oftamsulosin prevented patients.