Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 25512
ANAESTHESIA AT HIP JOINT REPLACEMENT
Aleh KEZLIA, Natalia GRIDIUSHKO
Belarusion Medical Academy of Post-Graduate Eduction, Minsk (BELARUS)
Application of general anesthesia at large-scale interference is limited by insufficient
protection of patients, impossibility of post-surgery anesthesia without narcotic
analgesic. Nerve block anesthesia is commonly used in the complex of anesthesia
service providing analgesia, hyporeflexia and relaxation only in the area of surgical
treatment. The aim of the present work is the study of effectiveness of nerve block
anesthesia during endoprosthesis replacement for patients with coxarthrosis.
Materials and methods: During the period 2007-2009 BelMAPE clinic of traumatology
and Orthopaedics performed 88 hip joint endoprosthesis replacement using nerve
block anesthesia including spinal or epidural anesthesia in aggregate with spinal. The
hip joint replacements were performed using cemented and cementless
endoprosthesis SLPS of Altimed JSC.Middle age of the patients: 69±5.5 years. The
overwhelming majority of the patients had serious concomitant disease (arterial
hypertension, coronary disease, heart rhythm disturbance, atherosclerotic
cardiosclerosis, and widespread atherosclerosis with brain arterial involvement,
kidney disease and pancreatic diabetes). Spinal anesthesia was performed at the
level L2-L3 with needle 22G 0.5% with Marcaine solution dose 2-3 mL. Epidural
anesthesia was performed at the level L1-L2 with standard set of BRAUN company
with 0.2% Naropine solution dose 10 mL injected every 3-4 hours. Results and
discussion: Regional anesthesia allowed to preserve adequate spontaneous
breathing, stability of hemodynamic parameters and acid-base balance. Resorptive
action of anesthetic caused moderate sedative effect and allowed to abandon
medication deep sleep, prolongate the block and use pose-surgical analgesia
influencing all links of surgical pain pathogenesis.
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