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  • 24 -12 (50) 2022 — Sadikova Minura Adkhamovna — EVALUATION OF THE EFFICACY OF ANESTHESIA IN RECONSTRUCTIVE PLASTIC SURGERY IN PATIENTS WITH POST-BURN CONTRACTURES OF THE FACE, NECK AND CHEST

24 -12 (50) 2022 — Sadikova Minura Adkhamovna — EVALUATION OF THE EFFICACY OF ANESTHESIA IN RECONSTRUCTIVE PLASTIC SURGERY IN PATIENTS WITH POST-BURN CONTRACTURES OF THE FACE, NECK AND CHEST

EVALUATION OF THE EFFICACY OF ANESTHESIA IN RECONSTRUCTIVE PLASTIC SURGERY IN PATIENTS WITH POST-BURN CONTRACTURES OF THE FACE, NECK AND CHEST

Sadikova Minura Adkhamovna Andijan State Medical Institute

Resume

56 patients aged 16 to 50 were under the experience of  reconstructive plastic surgery for post-burn contractures of the face, neck and chest. According to the anesthetic manual we used, the patients were divided into 2 groups: in the first (1) group – 27 patients (48.2%) used regional anesthesia (blockade of the cervical plexus and 3 branches of the trigeminal nerve). In the second (2) group of 29 patients (51.8%), reconstructive plastic surgery (RPO) was performed under the conditions of total intravenous anesthesia with benzodiazepines, ketamine, fentanyl with myoplegia arduan in standard age dosages.

Oxygen pressure in the soft tissue (PTKO2) of the operated area was examined using a Clark-type transducer using percutaneous contact polarography. The temperature was measured with an electric thermometer with fixation of the central T1C (oral cavity) and peripheral T2C (subclavian region), as well as the affected area T3C.

Compared temperature gradients of the flaps at the stages in the groups indicate (indirectly) a microcirculation with regional anesthesia better than TVA. Our obtained results according to the data of thermometry of the flaps at the stages of surgical intervention are quite consistent with those changes in oxygen tension in the tissues of the flap (RTKO2) in the patients examined by us. This results are less complicated in the operated tissues rather than other proven anesthesia methods when using regional anesthesia.

Key words: reconstructive plastic surgery, methods of anesthesia, regional anesthesia, oxygen pressure.

First page

143

Last page

149

For citation: Sadikova Minura Adkhamovna – EVALUATION OF THE EFFICACY OF ANESTHESIA IN RECONSTRUCTIVE PLASTIC SURGERY IN PATIENTS WITH POST-BURN CONTRACTURES OF THE FACE, NECK AND CHEST //New Day in Medicine 12(50)2022 143-149 https://clck.ru/337AFn

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