The possibility of neuroaxial anesthesia in arthroplasty of the joints of the lower extremities concomitant cardiovascular pathology

Gaziev, Z., Avakov, V., Rakhmankulov, E., Sh. , Sh., Газиев, З., Аваков, В., Рахманкулов , Э., Валиев, Ш., Газиев, З., Аваков, В., Рахманкулов, Э., Валиев , Ш.

Жамият ва инновациялар / Общество и инновации / Society and innovations · 2020-yil

Annotatsiya

To Evaluate the effectiveness and safety of neuroaxial anesthesia for lower limb joint replacement in elderly and senile patients with a high comorbidity index and ASA class III and IV physical status. Materials and Methods: The studies were carried out in a multidisciplinary TMA clinic in 40 geriatric patients with a comorbid background who were operated on under conditions of combined spinal-epidural anesthesia. 29 patients underwent total hip arthroplasty (THA), 11 - total knee arthroplasty (TKA). Inclusion criteria: elderly (65 to 75 years) and senile (76-90 years) age, and over 90 - long-livers, pain syndrome for more than one year, no contraindications for regional methods of anesthesia. For continuous monitoring of the vital functions of the patient, we used the "resuscitation-surgical" monitor YUM 300 (LLC "Company UTAS" Ukraine). Conclusion: For elderly and senile patients with a high risk of comorbidity, the technique of unilateral spinal and epidural anesthesia with low doses of intrathecal local anesthetic (5 mg 0.5% hyperbaric solution of bupivacaine with 20 μg fentanyl) and additional administration of low doses of bupivacaine into the epidural space 7, 5 mg is a safe method of anesthesia and allows you to achieve the proper sensory - motor block, which is necessary for the replacement of the joints of the lower extremities.

Maqola ma’lumotlari
MualliflarGaziev, Z., Avakov, V., Rakhmankulov, E., Sh. , Sh., Газиев, З., Аваков, В., Рахманкулов , Э., Валиев, Ш., Газиев, З., Аваков, В., Рахманкулов, Э., Валиев , Ш.
JurnalЖамият ва инновациялар / Общество и инновации / Society and innovations
NashriyotIn Science МЧЖ
ISSN2181-1415
Nashr sanasi2020-12-15
Jild1
Son2/S
Betlar337-346
TilIngliz
Ilmiy sohaTibbiyot
DOI10.47689/2181-1415-vol1-iss2/s-pp337-346
Indeksga qo‘shilgan2026-08-26

DOI: 10.47689/2181-1415-vol1-iss2/s-pp337-346 · Maqolaning asl sahifasi

Kalit so‘zlar

Центральная и периферическая, Спинально-эпидуральная анестезия, Эндопротезирование суставов нижних конечностей, spinal-epidural anesthesia, central and peripheral hemodynamics, arthroplasty of the joints of the lower extremities, Орқа мия эпидурал анестезияси, Марказий ва переферик гемодинамика, Тоз ва тиза бўғимларини артропластикаси

Ilmiy soha

Tibbiyot

Iqtibos keltirish

APAGaziev, Z., Avakov, V., Rakhmankulov, E., Sh. , Sh., Газиев, З., Аваков, В., Рахманкулов , Э., Валиев, Ш., Газиев, З., Аваков, В., Рахманкулов, Э., & Валиев , Ш. (2020). The possibility of neuroaxial anesthesia in arthroplasty of the joints of the lower extremities concomitant cardiovascular pathology. Жамият ва инновациялар / Общество и инновации / Society and innovations, 1(2/S), 337-346. https://doi.org/10.47689/2181-1415-vol1-iss2/s-pp337-346
GOST (OAK)Gaziev, Z. va b. The possibility of neuroaxial anesthesia in arthroplasty of the joints of the lower extremities concomitant cardiovascular pathology // Жамият ва инновациялар / Общество и инновации / Society and innovations. – 2020. – T. 1, № 2/S. – P. 337-346. – DOI: 10.47689/2181-1415-vol1-iss2/s-pp337-346.
MLAGaziev, Z., Avakov, V., Rakhmankulov, E., Sh. , Sh., Газиев, З., Аваков, В., Рахманкулов , Э., Валиев, Ш., Газиев, З., Аваков, В., Рахманкулов, Э., and Валиев , Ш. “The possibility of neuroaxial anesthesia in arthroplasty of the joints of the lower extremities concomitant cardiovascular pathology.” Жамият ва инновациялар / Общество и инновации / Society and innovations, 1(2/S), 337-346, 2020. https://doi.org/10.47689/2181-1415-vol1-iss2/s-pp337-346
ChicagoGaziev, Z., Avakov, V., Rakhmankulov, E., Sh. , Sh., Газиев, З., Аваков, В., Рахманкулов , Э., Валиев, Ш., Газиев, З., Аваков, В., Рахманкулов, Э., and Валиев , Ш. “The possibility of neuroaxial anesthesia in arthroplasty of the joints of the lower extremities concomitant cardiovascular pathology.” Жамият ва инновациялар / Общество и инновации / Society and innovations, 1(2/S), 337-346 (2020). https://doi.org/10.47689/2181-1415-vol1-iss2/s-pp337-346
HarvardGaziev, Z., Avakov, V., Rakhmankulov, E., Sh. , Sh., Газиев, З., Аваков, В., Рахманкулов , Э., Валиев, Ш., Газиев, З., Аваков, В., Рахманкулов, Э., and Валиев , Ш (2020) ‘The possibility of neuroaxial anesthesia in arthroplasty of the joints of the lower extremities concomitant cardiovascular pathology’, Жамият ва инновациялар / Общество и инновации / Society and innovations, 1(2/S), 337-346. https://doi.org/10.47689/2181-1415-vol1-iss2/s-pp337-346
BibTeX
@article{gazievz2020,
  title = {The possibility of neuroaxial anesthesia in arthroplasty of the joints of the lower extremities concomitant cardiovascular pathology},
  author = {Gaziev, Z. and Avakov, V. and Rakhmankulov, E. and Sh. , Sh. and Газиев, З. and Аваков, В. and Рахманкулов , Э. and Валиев, Ш. and Газиев, З. and Аваков, В. and Рахманкулов, Э. and Валиев , Ш.},
  journal = {Жамият ва инновациялар / Общество и инновации / Society and innovations},
  year = {2020},
  volume = {1},
  number = {2/S},
  pages = {337-346},
  doi = {10.47689/2181-1415-vol1-iss2/s-pp337-346},
  url = {https://doi.org/10.47689/2181-1415-vol1-iss2/s-pp337-346}
}

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