Abstract and keywords
Abstract (English):
Standard treatment for patients with diseases of the hip joint, accompanied by pain and restriction of movements, is joint replacement , which can significantly improve the quality of life of patients in this category were The object of the study, 120 pa-tients with coxarthrosis of both sexes aged 49-80 years who were on the surgical treatment in the Tula Oblast hospital in 2012, 2013. Analyzing the results obtained , we have identified some features of post-operative pain in response to the prosthetic hip joint. Pain impulses by VAS score of 4-7 patients after surgery under general endotracheal anesthesia , appeared after 20-40 minutes, and after epidural anesthesia and mixed for 20-50 minutes later. And the more pronounced these figures were in patients after surgery under general endotracheal anesthesia, and the temperature and oxygen saturation were significantly lower on the operated leg: the difference with the indicators on health reached 1-1.2 C0 and 1.5-2% respectively.

Keywords:
hip replacement, postoperative anesthesia
References

1. Anesteziologiya / pod red. R. Shefera, M. Eberkhardta; per. s nem. pod red. O.A. Dolinoy. M.: GEOTAR-Media, 2009. 864 s.

2. Borin V.V., Shipanov V.E., Karmanov I.M., Kukovyakin A.A. Vliyanie razlichnykh metodov posleoperatsionnogo obezbolivaniya na sistemu gemostaza pri endoprotezirovanii tazobedrennogo sustava. Byul. Sibirskoy meditsiny. 2013. №1. S. 14-23.

3. Zagrekov V.I. Anesteziologicheskoe obespechenie operatsiy endoprotezirovaniya tazobedrennogo sustava: diss. dokt.med.nauk. N.Novgorod, 2011. 346 s.

4. Emkuzhev O.L., Abdulnasyrov R.K. Posleoperatsionnoe obezbolivanie pri total´nom endoprotezirovanii tazobedrennogo sustava u bol´nykh deformiruyushchimi koksartrozami. Aktual´nye voprosy travmatologii, ortopedii, neyrokhirurgii i vertebrologii. Saratov, 2012. S. 22-23.

5. Kireev S.S. Filimonova T.A. Znachenie issledovaniya kortizola v otsenke adekvatnosti anestezii. Vestnik novykh meditsinskikh tekhnologiy. 2001. №4. S. 63-64.

6. Mukutsa I.G., Tsarenko S.V., Lyadov K.V. Mul´timodal´noe obezbolivanie posle total´nogo endoprotezirovaniya tazobedrennogo sustava. Travmatologiya i ortopediya Rossii. 2012. №4. S. 72-75.

7. Ovechkin A.M., Romanova T. L. Posleoperatsionnoe obezbolivanie: optimizatsiya podkhodov s tochki zreniya dokazatel´noy meditsiny. Russkiy meditsinskiy zhurnal. 2006. № 12. S. 865-872.

8. Shanin Yu.N. Posleoperatsionnoe obezbolivanie kak element sistemy intensivnogo nablyudeniya, profilaktiki, lecheniya i reabilitatsii ranenykh i bol´nykh. Klinicheskaya patofiziologiya. 2011. №1-3. S. 3-17.

9. Andersen L., Gaarn-Larsen L., Kristensen B.B. Sub-acute pain and function after fast-track hip and knee arthroplasty. Anaesthesia. 2009. no.5. P. 508-513.

10. Acute Pain Management: Scientific Evidence. Australian and New Zeland College of Anaesthetists, 2-nd edition, 2005 (endorsed Royal College of Anaesthetists, UK) - 310S.

11. Haelst I.M.,Bocxe J.S., Burger B.J. Pain treatment following knee and hip replacement surgery. Ned. Tijdschr. Geneeskd. 2009. no. 153. P.428.

Login or Create
* Forgot password?