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.
| Mualliflar | Gaziev, Z., Avakov, V., Rakhmankulov, E., Sh. , Sh., Газиев, З., Аваков, В., Рахманкулов , Э., Валиев, Ш., Газиев, З., Аваков, В., Рахманкулов, Э., Валиев , Ш. |
|---|---|
| Jurnal | Жамият ва инновациялар / Общество и инновации / Society and innovations |
| Nashr sanasi | 2020-12-15 |
| Jild | 1 |
| Son | 2/S |
| Betlar | 337-346 |
| Til | Rus |
| DOI | 10.47689/2181-1415-vol1-iss2/s-pp337-346 |
DOI: 10.47689/2181-1415-vol1-iss2/s-pp337-346 · Maqolaning asl sahifasi
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
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Жамият ва инновациялар / Общество и инновации / Society and innovations — barcha maqolalar