Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 1995
Comparative Study[Choice of anesthesia in geriatric patients in lower limb surgery].
Three variants of regional anesthesia were used in 162 patients operated on the lower limbs. A combination of the inguinal approach after Winnie for the blocking of the lumbar plexus and sciatic nerve provided a reliable analgesia in operations performed below the middle third of the femur. In interventions on the upper third of the femur and the hip joint segmentary conduction blocking (epidural or spinal anesthesia) should be preferred in geriatric patients, because it is impossible to block the branches of the obturator, sciatic, upper and lower gluteal nerves innervating the hip joint by Winnie's technique, an anatomical obstacle (fascial node) preventing the procedure, as was shown by anatomical experiments with 28 corpses.
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Anesteziol Reanimatol · Mar 1995
Review Comparative Study[Practical steps in the solution of the problem of patient's safety during anesthesia].
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Anesteziol Reanimatol · Mar 1995
Review Comparative Study[Possibilities and prospects of regional anesthesia in the current anesthesiological practice].
Presents a modern concept of conduction blocking, permitting revision of indication for it. Blocking is regarded as the basic component of present-day anesthesiologic care responsible for analgesia and regional muscle relaxation. Use of objective methods of verification of the elements of nervous formations improves the efficacy of and extends the range of indications for regional blocking solves the problem of regulation, and rational combination of this modality with selectively acting drugs provides the optimal realization of balanced anesthesia.