IMPROVEMENTS AFTER SURGICAL ANESTHESIA IN ELDERLY AND OLD AGE PATIENTS IN THE INTERVENTION OF THE HIP JOINT

Аннотация

The article presents data on postoperative pain relief in elderly and senile patients who underwent surgery on the hip joint and thigh. The study included 56 patients (35 women and 21 men) of elderly and senile age from 62 to 85 years, with the risk of III-IV ASA anesthesia, who underwent elective operations of unipolar hip arthroplasty and osteosynthesis of the femur. All patients were divided into 2 groups depending on the method of postoperative analgesia: main and control. In the main group (n=30), combined anesthesia was used based on a combination of peripheral neural blockade of the lumbar plexus by inguinal access with solutions of long-acting local anesthetics of low concentration (0.1%) and "basic" NSAID analgesia. In the control group (n=26) standard anesthesia with narcotic analgesic was carried out Comparison of regional blockade of the lumbar plexus 0.1%. Postoperative analgesia based on regional blockade of the lumbar plexus (0.1% solutions of naropine or marcaine) and the planned administration of NSAIDs (diclofenac, ketonal or xefocam) is a more effective method of analgesia after surgery in trauma patients of elderly and senile age.