Choice anesthesia method for orthopaedics surgery on distal lower extremities
https://doi.org/10.56618/20712693_2022_14_4_22
Abstract
The purpose of this study shows how the choice of anesthesia affects the quality of the perioperative period after performing orthopaedic surgery on the distal segment of the lower limbs. The study included 60 patients in three groups depending on the type of anesthesia performed. Patients in the first group received general anesthesia via mechanical ventilation. The patients of the second group received spinal anesthesia with intravenous sedation. Patients of the third group received combined anesthesia based on a combination of peripheral nerve blockade and sedation with an inhalation anesthetic on a ventilator. The results showed that combined anesthesia based on nerve blockade and sedation with an inhalation anesthetic: reduces the severity of pain in the postoperative period, reduces the risk of developing postoperative nausea and vomiting syndrome, and contributes to earlier verticalization of patients.
About the Authors
V. A. Kopaev
«Far Eastern Federal University», Medical Center
Russian Federation
Russian Federation
Vladislav A. Kopaev.
690922, Primorsky Region, Vladivostok, Russian Island, P. Ajaks, 10
V. Yu. Velichkin
«Far Eastern Federal University», Medical Center
Russian Federation
Russian Federation
Vyacheslav Yu. Velichkin.
690922, Primorsky Region, Vladivostok, Russian Island, P. Ajaks, 10
A. S. Zolotov
«Far Eastern Federal University», Medical Center
Russian Federation
Russian Federation
Alexandr S. Zolotov.
690922, Primorsky Region, Vladivostok, Russian Island, P. Ajaks, 10
E. A. Sergeev
«Far Eastern Federal University», Medical Center
Russian Federation
Russian Federation
Evgeny A. Sergeev.
690922, Primorsky Region, Vladivostok, Russian Island, P. Ajaks, 10
References
1. Pasechnik Igor’ Nikolaevich, Nazarenko Anton Gerasimovich, Gubajdullin Renat Ramilevich, Skobelev Evgenij Ivanovich, Borisov Aleksandr YUr’evich SOVREMENNYE PODKHODY K USKORENNOMU VOSSTANOVLENIYU PATSIENTOV POSLE KHIRURGICHESKIKH VMESHATEL’STV // Doktor.Ru. 2015. № 15–16 (116–117). (In Russ.).
2. Solov’ev E. YA ., Larionov S. V., Zabusov A . V., Ayuboshevskij P . A ., Druzhinin S. O . Vliyanie vybora metoda anestezii pri operatsiyakh osteosinteza lodyzhek na intensivnost’ posleoperatsionnogo bolevogo sindroma i kharakter lokal’nogo krovotoka // Regionarnaya anesteziya i lechenie ostroj boli. 2008. № 1. (in R uss.).
3. Logvinenko V. V., SHen’ N. P . Vybor optimal’nogo anesteziologicheskogo obespecheniya ambulatornykh operativnykh vmeshatel’stv v travmatologii // Regionarnaya anesteziya i lechenie ostroj boli. 2010. № 3. (In Russ.).
4. Flyagin Timofej Sergeevich, Kokhno Vladimir Nikolaevich, Loktin Evgenij Mikhajlovich Vazoaktivnyj ehffekt ropivokaina pri blockade sedalishhnogo nerva u bol’nykh s diabeticheskoj stopoj // Journal of Siberian Medical Sciences. 2015. № 3. (In Russ.).
5. Koryshkov Nikolaj Aleksandrovich, Larionov Sergej Vasil’evich, Murashova Nataliya Alekseevna, Sobolev Kirill Aleksandrovich Obezbolivanie pri operatsiyakh na stope i golenostopnom sustave (obzor literatury) // Travmatologiya i ortopediya Rossii. 2012. № 3. (In Russ.).
6. Akulov Mikhail Savvateevich, Vodop’yanov Kirill Aleksandrovich Anesteziologicheskoe obespechenie vysokotekhnologichnykh operatsij v detskoj ortopedii // Meditsinskij al’manakh. 2010. № 2 (In Russ.).
7. Murashova N. A ., Lyuboshevskij P . A ., Larionov S. V. Vliyanie variantov regionarnoj anestezii na nejrovegetativnyj i gemoreologicheskij status pri operatsiyakh po povodu travmy stopy i golenostopnogo sustava // Regionarnaya anesteziya i lechenie ostroj boli. 2013. № 2. (In Russ.).
8. Zabolotskij D . V., Ul’rikh G .EH. Regionarnaya analgeziya v detskoj khirurgii. Sankt-Peterburg, 2004. 200 c(In Russ.).
9. SHifman E.M., Filippovich G. V. Spinnomozgovaya anesteziya v akusherstve. Petrozavodsk, 2005 (In Russ.).
10. Ovechkin Aleksej Mikhajlovich, Politov M . E . D eksametazon i posleoperatsionnaya anal’geziya // Regionarnaya anesteziya i lechenie ostroj boli. 2018. № 3. (In Russ.).
11. Zabolotskij Dmitrij Vladislavovich, Koryachkin V. A ., Savenkov A . N., Fel’ker E.YU ., Lavrenchuk A . V. Vliyanie deksametazona na kachestvo anal’geticheskogo ehffekta perifericheskikh blokad // Regionarnaya anesteziya i lechenie ostroj boli. 2017. № 2. (In Russ.).
12. Medvedeva Lyudmila Anatol’evna, Zagorul’ko O.I., Belov YU .V. KHronicheskaya posleoperatsionnaya bol’: sovremennoe sostoyanie problemy i ehtapy profilaktiki // Anesteziologiya i reanimatologiya. 2017. № 4. (In Russ.).
13. Ajzenberg Vladimir L’vovich, Ul’rikh G. E H., TSypin L. E., Zabolotskij D . V. Otdel’nye glavy iz monografii «Regionarnaya anesteziya v pediatrii». Prodlennye perifericheskie i tsentral’nye blokady v posleoperatsionnom periode // Regionarnaya anesteziya i lechenie ostroj boli. 2014. № 4. (In Russ.).
14. Tianxiang Zhang, Yunfei Cao, Rong Xu, Lianfei Xia, Youhua Wu, Spinal Anesthesia With Peripheral Nerve Block Versus General Anesthesia With Peripheral Nerve Block for Elective Foot and Ankle Surgeries: A Retrospective Single-Center Study, The Journal of Foot and Ankle Surgery Volume 61, Issue 4,2022, Pages706–712, ISSN 1067–2516, https://doi.org/10.1053/j.jfas.2021.11.001.
15. Arianna L. Gianakos, Filippo Romanelli, Naina Rao, Malaka Badri, Bart Lubberts, Daniel Guss, Christopher W. DiGiovanni, Combination Lower Extremity Nerve Blocks and Their Effect on Postoperative Pain and Opioid Consumption: A Systematic Review, The Journal of Foot and Ankle Surgery, Volume 60, Issue 1,2021, Pages 121–131, ISSN 1067–2516, https://doi.org/10.1053/j.jfas.2020.08.026.
Review
For citations:
Kopaev V.A., Velichkin V.Yu., Zolotov A.S., Sergeev E.A. Choice anesthesia method for orthopaedics surgery on distal lower extremities. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(4):22-30. (In Russ.) https://doi.org/10.56618/20712693_2022_14_4_22
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