Novosti
Khirurgii
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Year 2007 Vol. 15 No 4

EXPERIENCE EXCHANGE

MAROCHKOV A.V., BORDILOVSKY A.N., EVSEYENKO A.I.

EFFICIENCY AND SAFETY OF THE PERIPHERAL NERVES AND PLEXUS REGIONAL ANESTHESIA

The prospective research of the anesthesia application during the operations on the lower and upper limbs was carried out. 736 blocks in 500 patients were performed. The following was done:
1) sciatic nerve block – in 231 patients; 2) femoral nerve block – in 231 patients; 3) brachial plexus block by the interscalene approach – 177 patients; 4) brachial plexus block by the supraclavicular approach – 39 patients; 5) brachial plexus block by the axillary approach – 49 patients; 6) hand nerves block according to the cuff type – 4 patients; 7) feet nerves block according to the cuff type – 5 patients.
According to the electronic stimulator application for the nerves detection, all patients were divided into the groups. In the first group, with the electronic stimulator application for the nerves detection, 164 blocks in 110 patients were performed, in the second group – 572 blocks in 395 patients.
Application of neurostimulators has increased the efficiency of the peripheral blocks from 97% to 99, 4%. The number of complications has decreased from 2, 45% to 0, 61%.

Keywords: regional anesthesia, complications, efficiency.
p. 96 - 102 of the original issue
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Contacts | ©Vitebsk State Medical University, 2007