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
- 作者: Agafonov D.E.1, Yakovlev M.Y.2,3, Krainyukov P.E.1,4, Valtseva E.A.2
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隶属关系:
- 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
- 期: 卷 344, 编号 11 (2023)
- 页面: 21-27
- 栏目: 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
如何引用文章
详细
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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作者简介
D. Agafonov
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
编辑信件的主要联系方式.
Email: agafonov.dmitriy.cvkg@gmail.com
подполковник медицинской службы
俄罗斯联邦, MoscowM. 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
俄罗斯联邦, Moscow; MoscowP. 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
俄罗斯联邦, Moscow; MoscowE. 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
俄罗斯联邦, Moscow