Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita

Authors

  • T.V. Savchuk MNPE KRC “Kyiv Regional Clinical Hospital”, Kyiv, Ukraine; Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine
  • D.O. Dziuba MNPE KRC “Kyiv Regional Clinical Hospital”, Kyiv, Ukraine; Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine
  • I.V. Kliuzko MNPE KRC “Kyiv Regional Clinical Hospital”, Kyiv, Ukraine
  • O.A. Loskutov Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.18.2.2022.1478

Keywords:

arthroscopic reconstruction, anterior cruciate ligament, spinal anesthesia, regional anesthesia, bupivacaine

Abstract

Over the last 25 years, there has been a sharp increase in the number of knee ligament ruptures, especially anterior cruciate ligament ruptures. Arthroscopic reconstruction is the gold standard for such type of injury, it reduces the incidence of post-traumatic osteoarthritis and restores joint stability. This surgery is characterized by severe pain syndrome that delays the early rehabilitation of patients. Thus, careful planning of the protocol of postoperative pain control in arthroscopic reconstruction is one of the main prerogatives of rapid recovery and reduction of morbidity. This article analyzes the anesthetic management of 356 patients of Kyiv Regional Clinical Hospital who underwent anterior cruciate ligament reconstruction using regional anesthesia, compares the effectiveness of regional anesthesia techniques with world experience based on literature sources. It is also shown that there is currently no gold standard for the anesthesia protocol and consensus on the optimal postoperative pain control.

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References

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Published

2022-05-19

How to Cite

Savchuk, T., Dziuba, D., Kliuzko, I., & Loskutov, O. (2022). Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita. EMERGENCY MEDICINE, 18(2), 73–79. https://doi.org/10.22141/2224-0586.18.2.2022.1478

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