Comparative Evaluation of Spinal and General Combined Anesthesia with Quadratus Lumborum Block in Gynecological Surgeries in Patients with Chronic Heart Failure

Abstract

In this article the results of a clinical study aimed at objectively evaluating the effectiveness of various balanced anesthesia techniques using regional blocks in gynecological patients with chronic heart failure (CHF) of functional class II–III according to NYHA are presented. A total of 52 patients underwent planned gynecological surgeries, including abdominal hysterectomies or reconstructive-plastic interventions. The anesthetic techniques used included spinal anesthesia (SA) in combination with quadratus lumborum (QL) block and general combined anesthesia with mechanical ventilation and QL-block using reduced concentrations of local anesthetics. It was found that both variants of balanced anesthesia involving QL-block provide reliable hemodynamic stability and antinociceptive protection in patients with CHF.