Iryna Kozlovska

Vinnytsia National Pirogov Memorial Medical University, Ukraine

Title: Techniques of spinal anesthesia during operations on the lower extremities in traumatology and orthopedics

Abstract

Long-term surgical interventions in traumatology and orthopedics are frequent. Analgesia for such interventions requires multicomponent anesthesia with the additional use of opiates and hypnotics. In order to prolong the duration of analgesia and eliminate side effects, we have proposed our own method of unilateral spinal anesthesia. The study included 102 patients who underwent lower extremity surgery from September 2021 to September 2022, aged 18 to 70 years. They were divided into 4 groups. 1st group – control, in which bilateral spinal anesthesia was performed; Groups 2, 3 and 4 – patients who underwent unilateral spinal anesthesia with different local anesthetic dosage schemes depending on the patient's height. We determined in each patient the duration of motor and sensory blocks, the level of analgesia by dermatomes, the occurrence of frequent side effects, such as arterial hypotension and bradycardia, the volume of infusion, and the need for additional use of opiates, sympathomimetics, and M-cholinergic blockers. Laboratory determination of blood glucose, lactate, and cortisol was used during surgery to control the occurrence of pain syndrome,. As a result, we determined that the use of graduated dosing of local anesthetic according to the height of the patient for unilateral spinal anesthesia with high doses of anesthetic provides long-term analgesia, prevents the occurrence of cardiovascular complications and improves patient comfort during and after surgery.

Biography

Iryna Kozlovska graduated from the Vinnytsia National Medical University, Ukraine, at the age of 25, majoring in Anesthesiology and IC. She is assistant of the Department of Anesthesiology of the VNMU, Vinnytsia. She is currently conducting scientific research for a PhD with the aim of improving spinal anesthesia during orthopedic and traumatological operations.

4th Annual Conference on Orthopedics, Rheumatology and Musculoskeletal Disorders

Iryna Kozlovska

Title: Techniques of spinal anesthesia during operations on the lower extremities in traumatology and orthopedics

Abstract

Biography

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