APPLICATION OF REGIONAL METHODS OF ANESTHESIA IN VARIOUS SURGICAL INTERVENTIONS
Abstract
Anesthesia using bupivacaine provides more stable hemodynamic parameters than when using lidocaine. Interest in the use of regional anesthesia methods in surgical and trauma operations has always been quite high. The purpose of the study is to study the effectiveness of regional methods in surgical operations on the lower floor of the abdominal cavity and trauma and vascular operations on the lower extremities. Materials and methods of the study. These studies are based on the results of the work of the Anesthesiology and Resuscitation Department of the Andijan Scientific Center for Emergency Medicine and Medical Care of the Andijan Federal District. The study used data on surgical treatment using modern local anesthetics Bupivacaine and Ropivicaine in 198 adult patients in 2023-2024, operated on on a planned and emergency basis for surgical, traumatological and vascular diseases. The average age of patients was 40.5 ± 14.0 years, the average weight of patients was 72.9 ± 10.7 kg, the average height of patients was 169.2 ± 7.4 cm. Results: Bupivacaine-based anesthesia has proven to be a method with the least impact on hemodynamics. With the correct calculation of the anesthetic dose, hemodynamic shifts were minimal. There was more than enough time to perform these surgical interventions under spinal anesthesia with bupivacaine at a dose of 15 mg. Complications of spinal anesthesia included headaches in 4 patients and penetration of the nerve roots in 2 patients. The positive aspect of epidural anesthesia was the possibility of prolonged anesthesia and the possibility of effective pain relief in the postoperative period. Complications of epidural anesthesia included partial block and mosaic anesthesia in 3 cases in group 1. Conclusion: Epidural anesthesia is preferable when it is necessary to prolong the time of anesthesia and postoperative pain relief.
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