| Autor: |
Ruslan A. Marchenko, Alexander P. Marchenko, Sergey A. Emelyanov, Marina A. Ignatova, Oleg N. Yamshchikov |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Medicine and Physical Education: Science and Practice. :7-13 |
| ISSN: |
2658-7688 |
| Popis: |
The aim of the study is to assess the advantages of a new technique for conducting a combined two-level spinal-epidural anesthesia with fixation of an epidural catheter in the subcutaneous canal using a modified spinal needle among elderly and senile patients during operations for fracture of the lower extremity bones. Material . We analyzed 44 cases of combined two-level spinal-epidural anesthesia with epidural catheter fixation in the subcutaneous canal using a modified cerebrospinal needle in lower limb bone fracture surgeries among elderly and senile patients over 2019. The developed technique of combined two-level spinal-epidural anesthesia with fixation of the epidural catheter in the subcutaneous canal using a modified cerebrospinal needle made it possible to exclude cases of catheter migration by more than 1 cm and avoid development of local inflammatory reaction. Conclusion . Combined two-level spinal-epidural anesthesia with the fixation of an epidural catheter in the subcutaneous canal using a modified cerebrospinal needle is a reliable, effective and safe anesthesia technique for operations for hip fracture among elderly and senile patients and makes it possible to perform long-term postoperative analgesia without the risk of infectious complications and complications associated with dislocation of the epidural catheter. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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