Evaluation of the effectiveness of regional conduction anesthesia in terms of hemodynamic parameters in the surgical treatment of patients with shrapnel wounds of the lower extremities
- Authors: Agafonov D.E.1, Yakovlev M.Y.2,3, Krainyukov P.E.1,4, Valtseva E.A.2
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Affiliations:
- The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of the Russian Federation
- The I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
- The Patrice Lumumba Peoples’ Friendship University of Russia
- Issue: Vol 344, No 11 (2023)
- Pages: 21-27
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/631148
- DOI: https://doi.org/10.52424/00269050_2023_344_11_21
- ID: 631148
Cite item
Abstract
The purpose is to evaluate the effectiveness of regional conduction anesthesia in the surgical treatment of patients with shrapnel wounds of the lower extremities in terms of hemodynamic parameters. A prospective cohort study of patients (n=122) operated on for shrapnel wounds of the lower extremities was performed. Patients were divided into 4 groups depending on anesthesia. It has been established that the use of regional conduction anesthesia with blockade of the peripheral nerve under ultrasound control, in contrast to intravenous and local infiltration, allows maintaining the values of blood pressure and heart rate within the normal range during the entire observation cycle, including periods of surgery and dressing, as well as two-hour intervals after the performed procedures. Patients showed a statistically significant increase in the diameter of the major arteries of the lower extremities after surgery, which persisted throughout the entire period of postoperative administration of the anesthetic.
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About the authors
D. E. Agafonov
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Author for correspondence.
Email: agafonov.dmitriy.cvkg@gmail.com
подполковник медицинской службы
Russian Federation, MoscowM. Yu. Yakovlev
National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of the Russian Federation; The I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Email: agafonov.dmitriy.cvkg@gmail.com
доктор медицинских наук
Russian Federation, Moscow; MoscowP. E. Krainyukov
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; The Patrice Lumumba Peoples’ Friendship University of Russia
Email: agafonov.dmitriy.cvkg@gmail.com
доктор медицинских наук, доктор военных наук, доцент, генерал-майор медицинской службы
Russian Federation, Moscow; MoscowE. A. Valtseva
National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of the Russian Federation
Email: agafonov.dmitriy.cvkg@gmail.com
кандидат медицинских наук
Russian Federation, Moscow