Peculiarities of anaesthesiological provision for surgical interventions in paediatric orthopaedics and traumatology

Authors

  • Mykyta Voloshin
  • Andrеy Khmyzov

DOI:

https://doi.org/10.15674/0030-598720104119-121

Keywords:

orthopaedics, traumatology, surgery of children, anaesthesiological examination

Abstract

The authors share their significant experience in using spinal anaesthesia, including repeated (more than 5 times) in one patient during a relatively short period of time (less than 2 years), prolonged and superprolonged anaesthesia (respectively, more than 4 and 6 houirs) after a single injection of an anaesthetic in patients below 1 year. Most frequently used in interventions on the upper extremities is nerve block anaesthesia with electrostimulation following preliminary sedation. Particularly difficult is surgical correction of severe deformities in the vertebral column with use of polysegmental structures in conditions of combined anteroposterior approaches. The large size of an operative wound, a high traumatism and duration of the intervention necessitate thorough individualization of anaesthesia for each particular patient. For the first time in Ukraine, the technique of prolonged epidural pain relief was used in patients of the above category for postoperative analgesia.

References

  1. Грегори Дж. А. Анестезия в педиатрии / Дж. А. Грегори. — М: Медицина, 2003. — 1178 c.
  2. Овечкин А. М. Послеоперационное обезболивание в абдоминальной хирургии: новый взгляд на старую проблему / А. М. Овечкин, И. А. Карпов, С. В. Люосев // Анестезиол. и реаниматол. — 2003. — № 5. — С. 45–50.
  3. Осипова Н. А. Критерии выбора средств фармакотерапии болевых синдромов / Н. А. Осипова // Анестезиол. и реаниматол. — 2003. — № 5. — С. 13–17.
  4. Радченко В. А. Анестезиологическое обеспечение оперативных вмешательств на позвоночнике: методические рекомендации / В. А. Радченко, Г. С. Орлов, А. А. Хмызов: Ин-т патологии позвоночника и суставов им. проф. М. И. Ситенко. — Харьков, 2002. — С. 18.
  5. Свинцицкий А. С. Отдельные клинические аспекты применения НПВП / А. С. Свинцицкий, О. Г. Пузанова // Провизор. — 2004. — № 23. — Режим доступа: http://www.provisor.com.ua/archive/2004/N23/art_27.php.
  6. Таможанская А. В. Состояние кардиореспираторной системы детей, страдающих сколиотической болезнью IV степени, до и после оперативного лечения / А. В. Таможанская, А. А. Мезенцев // Врачебная практика. — 2005. — № 1. — С. 25–31.
  7. Core curriculum for professional education in pain. — [3rd Edition/ IASP Press]. — Seattle, 2003. — Р. 270.
  8. Fasting S. Risk in anaesthesia / S. Fasting // Tidsskr Nor Laegeforen. — 2010. — Vol. 130, № 5. — P. 498–502.
  9. Liu S. Effects of perioperative analgesic technique on rate of recovery after colon surgery / S. Liu, L. Carpenter, D. Mackey // Anesthesiology. — 1995. — Vol. 83. — P. 757–765.
  10. Lönnqvist P. A. Is ultrasound guidance mandatory when performing pediatric regional anaesthesia? / P. A. Lönnqvist // Curr Opin Anaesthesiol. — 2010. — Vol. 23, № 3. — P. 337–341.
  11. Østgaard G. Paediatric anaesthesia / G. Østgaard, A. Ulvik // Tidsskr Nor Laegeforen. — 2010. — Vol. 130, № 7. — P. 752–755.
  12. Ultrasonography and stimulating perineural catheters for nerve blocks: a review of the evidence / Q. H. Tran de, L. Muñoz, G. Russo, R.J. Finlayson // Can J Anaesth. — 2008. — Vol. 55, № 7. — P. 447–457.
  13. Current trends in paediatric regional anaesthesia / H. Willschke, P. Marhofer, A.M. Machata, P. A. Lönnqvist // Anaesthesia. — 2010. — Vol. 65, Suppl 1. — P. 97–104.

Downloads

How to Cite

Voloshin, M., & Khmyzov, A. (2010). Peculiarities of anaesthesiological provision for surgical interventions in paediatric orthopaedics and traumatology. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (4), 119–121. https://doi.org/10.15674/0030-598720104119-121

Issue

No. 4 (2010)

Section

DIGESTS AND REVIEWS

License

Copyright (c) 2014 Mykyta Voloshin, Andrеy Khmyzov

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).