[Combined spinal epidural and general anesthesia in abdominal surgery].

Almost ten years has past since Eldor described combined spinal-epidural-general anaesthesia (CSEOGA) as a new concept in anaesthesia in which all of these components can be used, with sub-anaesthetic doses of drugs, due to its sinergist effect. The clinics studies has not demonstrated crucial advantages CSEGA comparing with combined epidural-general anaesthesia (CEDGA), in sense of analgesia, pulmonary function and neuro-hormomal inhibition. However we have been routinely practising our technique CSEGA in big abdominal and thoraco-abdominal surgery, since 1997.

[Advantage of combined spinal, epidural and general anesthesia in comparison to general anesthesia in abdominal surgery].

Type and technique of anesthesia have an important effect on per operative surgical course. The aim of the study was prospective analyses of advantages of combined spinal, epidural and general anesthesia (CSEGA) versus general anesthesia (GA) in abdominal surgery according to: 1. operative course (haemodynamic stability of patients, quality of analgesia, undesirables effects), 2.