Open AccessANESTHESIA FOR MICROSURGICAL AUTOTRANSPLANTATION OF TOES ON THE WRIST IN CHILDREN WITH CONGENITAL AND POSTTRAUMATIC PATHOLOGY
Author(s) -
D. V. Zabolotsky,
Sergey I. Golyana,
Nadezhda Zaytseva,
Alexander Govorov,
А. Г. Кулев,
А. В. Балашов
Publication year - 2010
Publication title -
travmatologiâ i ortopediâ rossii
Language(s) - English
Resource type - Journals
eISSN - 2542-0933
pISSN - 2311-2905
DOI - 10.21823/2311-2905-2010-0-1-43-47
Subject(s) - medicine , autotransplantation , anesthesia , brachial plexus , wrist , surgery , transplantation
Intraoperative combination of monolateral spinal anesthesia and prolonged brachial plexus block is evaluated in 65 children with autotransplantation of fingers from foot to hand. Variability of heart rhythm demonstrated autonomous stability in the main group. Dynamical study of skin temperature and dopplerographic evaluation demonstrated local sympatholysis in the blocked extremity. Significant improvement of circulation and quality of analgesia is revealed in case of prolonged perineural use of local anesthetics in the postoperative period. Described combination of intra- and postoperative treatment of such patients makes complex treatment more effective.