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  • 56 -4 (32/2) 2020 — Rakhmonkulov E. Zh., Avakov V.E. — ENDOPROSTHETICS OF LARGE JOINTS OF THE LOWER EXTREMITIES IN ELDERLY AND SENILE PEOPLE WITH A PRONOUNCED COMORBID BACKGROUND

56 -4 (32/2) 2020 — Rakhmonkulov E. Zh., Avakov V.E. — ENDOPROSTHETICS OF LARGE JOINTS OF THE LOWER EXTREMITIES IN ELDERLY AND SENILE PEOPLE WITH A PRONOUNCED COMORBID BACKGROUND

ENDOPROSTHETICS OF LARGE JOINTS OF THE LOWER EXTREMITIES IN ELDERLY AND SENILEPEOPLE WITH A PRONOUNCED COMORBID BACKGROUND

Rakhmonkulov E. Zh. -Tashkent Medical Academy

Avakov V.E. -Tashkent Medical Academy

Gaziev Z.T. -Tashkent Medical Academy

Resume

Objective: to evaluate the efficacy and safety of unilateral combined spinal-epidural anesthesia in orthopedic patients with a high comorbidity index in the replacement of large joints of the lower extremities.

Materials and Methods: The studies were carried out in a multidisciplinary TMA clinic in 40 geriatric patients with a comorbid background who were operated on under conditions of combined spinal-epidural anesthesia. 29 patients underwent total hip arthroplasty (THA), 11 – total knee arthroplasty (TKA). Inclusion criteria: elderly (65 to 75 years) and senile (76-90 years) age, and over 90 – long-livers, pain syndrome for more than one year, no contraindications for regional methods of anesthesia. For continuous monitoring of the vital functions of the patient, we used the “eesuccitation-srrgica”” monitor YUM 300 (LLC “Company UTAS” Ukraine).Conclusion: For elderly and senile patients with a high risk of comorbidity, the technique of unilateral spinal and epidural anesthesia with low doses of intrathecal local anesthetic (5 mg 0.5% hyperbaric solution of bupivacaine with 20 mg fentanyl) and additional administration of low doses of bupivacaine into the epidural space 7, 5 mg is a safe method of anesthesia and allows you to achieve the proper sensory – motor block, which is necessary for the replacement of the joints of the lower extremities.

Key words: spinal-epidural anesthesia, central and peripheral hemodynamics, arthroplasty of the joints of the lower extremities

Firs page

236

Last page

241

For citation: Rakhmonkulov E. Zh., Avakov V.E., Gaziev Z.T., Endoprosthetics of large joints of the lower extremities in elderly and senile people with a pronounced comorbid background//New Day in Medicine 4(32)2020 236-241 https://cutt.ly/8l7Vbvi

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56-236-241-4-32-2020-тиббиёт-25-12-2020-—-копия

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