Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita
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 stab...
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Format: | Article |
Language: | English |
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Zaslavsky O.Yu.
2022-04-01
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Series: | Медицина неотложных состояний |
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Online Access: | https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1478 |
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author | T.V. Savchuk D.O. Dziuba I.V. Kliuzko O.A. Loskutov |
author_facet | T.V. Savchuk D.O. Dziuba I.V. Kliuzko O.A. Loskutov |
author_sort | T.V. Savchuk |
collection | DOAJ |
description | 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. |
first_indexed | 2024-04-10T04:13:02Z |
format | Article |
id | doaj.art-ada8498bb31f44eab5637df1c2debd22 |
institution | Directory Open Access Journal |
issn | 2224-0586 2307-1230 |
language | English |
last_indexed | 2024-04-10T04:13:02Z |
publishDate | 2022-04-01 |
publisher | Zaslavsky O.Yu. |
record_format | Article |
series | Медицина неотложных состояний |
spelling | doaj.art-ada8498bb31f44eab5637df1c2debd222023-03-12T14:46:38ZengZaslavsky O.Yu.Медицина неотложных состояний2224-05862307-12302022-04-01182737910.22141/2224-0586.18.2.2022.14781478Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospitaT.V. Savchuk0D.O. Dziuba1I.V. Kliuzko2O.A. Loskutov3КНП КОР «Київська обласна клінічна лікарня», м. Київ, Україна; Національний університет охорони здоров’я України імені П.Л. Шупика, м. Київ, УкраїнаКНП КОР «Київська обласна клінічна лікарня», м. Київ, Україна; Національний університет охорони здоров’я України імені П.Л. Шупика, м. Київ, УкраїнаКНП КОР «Київська обласна клінічна лікарня», м. Київ, УкраїнаНаціональний університет охорони здоров’я України імені П.Л. Шупика, м. Київ, УкраїнаOver 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.https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1478arthroscopic reconstructionanterior cruciate ligamentspinal anesthesiaregional anesthesiabupivacaine |
spellingShingle | T.V. Savchuk D.O. Dziuba I.V. Kliuzko O.A. Loskutov Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita Медицина неотложных состояний arthroscopic reconstruction anterior cruciate ligament spinal anesthesia regional anesthesia bupivacaine |
title | Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita |
title_full | Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita |
title_fullStr | Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita |
title_full_unstemmed | Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita |
title_short | Analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita |
title_sort | analysis of the features of anesthetic management during anterior cruciate ligament reconstruction based on the practice of the regional clinical hospita |
topic | arthroscopic reconstruction anterior cruciate ligament spinal anesthesia regional anesthesia bupivacaine |
url | https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1478 |
work_keys_str_mv | AT tvsavchuk analysisofthefeaturesofanestheticmanagementduringanteriorcruciateligamentreconstructionbasedonthepracticeoftheregionalclinicalhospita AT dodziuba analysisofthefeaturesofanestheticmanagementduringanteriorcruciateligamentreconstructionbasedonthepracticeoftheregionalclinicalhospita AT ivkliuzko analysisofthefeaturesofanestheticmanagementduringanteriorcruciateligamentreconstructionbasedonthepracticeoftheregionalclinicalhospita AT oaloskutov analysisofthefeaturesofanestheticmanagementduringanteriorcruciateligamentreconstructionbasedonthepracticeoftheregionalclinicalhospita |