Email this article The influence of different variants of regional anesthesia on neurovegetative and hemoreological status of patients undergone surgery for foot and ankle joint trauma
- Authors: Murashova N.A.1, Ljuboshevskij P.A.1, Larionov S.V.1
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Affiliations:
- Yaroslavl state medical academy
- Issue: Vol 7, No 2 (2013)
- Pages: 28-32
- Section: Articles
- URL: https://journals.rcsi.science/1993-6508/article/view/36184
- DOI: https://doi.org/10.17816/ра.v7i2.36184
- ID: 36184
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Abstract
The goal of the study was to compare the efficacy of three methods of anesthesia in patients operated on distal part of the lower extremities: isolated spinal anesthesia, spinal anesthesia in combination with local anesthesia performed at surgery zone and combination of spinal anesthesia and peripheral nerves blocks. The study was involved 75 patients undergone surgery distal part of the lower extremities stratified for method of anesthesia into three comparable groups. It was proved that the combination of spinal anesthesia with blockade of nerves of the bottom extremity is the most appropriate technique. This type of anesthesia allows not only to quit the pain effectively but also to provides stable indicators of a neurovegetative homeostasis and allow to reache positive hemorheological effects in the early postoperative period.
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##article.viewOnOriginalSite##About the authors
N. A. Murashova
Yaroslavl state medical academyYaroslavl
P. A. Ljuboshevskij
Yaroslavl state medical academyYaroslavl
S. V. Larionov
Yaroslavl state medical academyYaroslavl
References
- Deorio J. K., Easley M. E. Total ankle arthroplasty // Instr Course Lect. 2008; 57: 383-413.
- Овечкин А. М., Свиридов С. В. Послеоперационная боль и обезболивание: современное состояние проблемы // Регионарная анестезия и лечение острой боли. 2006; 1(0): 61.
- Забусов А. В., Яснев Д. С., Соловьев Е. Я. и др. Болевой синдром после операций накостного остеосинтеза переломов лодыжек при различных видах анестезиологического пособия // Информационный сборник, серия медицина. Новости анестезиологии и реаниматологии. М., 2007; 3: 106.
- Ферранте Ф. М., Вейд-Бонкор Т. Р Послеоперационная боль (перевод с англ.). М.: Медицина; 1998.
- Овечкин А. М. Хирургический стресс-ответ, его патофизиологическая значимость и способы модуляции // Регионарная анестезия и лечение острой боли. 2008; 2: 49-62.
- Grosser D. M., Herr M. J., Claridge R. J., Barker L. G. Preoperative lateral popliteal nerve block for intraoperative and postoperative pain control in elective foot and ankle surgery: a prospective analysis// Foot Ankle International. Los Angeles. 2007; Dec; 28(12): 1271-1275.
- Hunt K. J., Higgins T. F., Carlston C. V., Swenson J. R., McEachern J. E., Beals T. C. Continuous peripheral nerve blockade as postoperative for open treatment of calcaneal fractures // Journal of Orthopaedic Trauma. 2010 Mar; 24(3): 148-155.
- Deorio J. K., Easley M. E. Total ankle arthroplasty // Instr Course Lect. 2008; 57: 383-413.
- Ovechkin A. M., Sviridov S. V. Postoperative pain and analgesia: current state of a problem // Regionarnaya anesteziya i lechenie ostroy boli. 2006; 1, (0): s. 61. (in Russian).
- Zabusov A. V., Yasnev D. S., Solov’ev E. Ya. i dr. Pain syndrome after operations of osteosynthes of fractures of anklebones at different types of anesthesia // Informatsionnyy sbornik, seriya meditsina. Novosti anesteziologii i reanimatologii. Moscow. 2007; 3: 106. (in Russian).
- Ferrante F. M., Veyd-Bonkor T. R. Postoperative pain (translated from Engl.). Moscow: Meditsina; 1998. (in Russian).
- Ovechkin A. M. Surgical stress answer, its pathophysiological importance and ways of its modulation // Regionarnaya anesteziya i lechenie ostroy boli. 2008, 2: s. 49-62. (in Russian).
- Grosser D. M., Herr M. J., Claridge R. J., Barker L. G. Preoperative lateral popliteal nerve block for intraoperative and postoperative pain control in elective foot and ankle surgery: a prospective analysis // Foot Ankle International. Los Angeles: 2007 Dec; 28(12): 1271-1275.
- Hunt K. J., Higgins T. F., Carlston C. V., Swenson J. R., McEachern J. E., Beals T. C. Continuous peripheral nerve blockade as postoperative for open treatment of calcaneal fractures. Journal of Orthopaedic Trauma. 2010 Mar; 24(3)148-155.
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