YUZ, BOʼYIN VА KOʼKRАK QАFАSINING KUYIShDАN KEYINGI KONTRАKTURАSI BOʼLGАN BEMORLАRDА REKONSTRUKTIV PLАSTIK JАRROXLIK АMАLIYoTINI OʼTKАZIShDА АNESTETIK USULLАRNING OPTIMАL VАRIАNTINI TАNLАSh MАSАLАLАRI
##article.subject##:
rekonstruktiv plastik tashrix, anesteziya usullari, regionar anesteziya, kislorod bosimi##article.abstract##
16 yoshdan 50 yoshgacha boʻlgan yuz, boʻyin va koʻkrakning kuyishdan keyingi kontrakturalari boʻlgan bemorlarga plastik jarroxlik amaliyoti oʻtkazildi. Biz qoʻllagan anesteziya usullariga koʻra bemorlar ikki guruxga boʻlindi: Birinchi (1) guruxga 27 bemor (48,2%), regionar anesteziya, yani boʻyin chigali blokadasi (BNChB) va uch shoxli nerv III tarmogʻi blokadasi qilindi. regionarnaya anesteziya (blokada sheynogo spleteniya i 3 vetvi troynichnogo nerva). Ikkinchi (2) guruxga 29 bemor (51,8%), rekonstruktiv plastik operasiyalar ketamin va fentanil (KF) bilan total vena ichi anesteziyasi ( TVI) bilan oʻtkazildi. Operasiya qilingan yumshoq toʻqimalarning kislorod bosimi (PTKO2) transkutan kontaktli polyarografiya Klark yordamida aniqlandi. Xaroratni markaziy T1C (ogʻiz boʻshligʻi) i perifericheskoy T2S (oʻmrov soxasi), shikastlangan soxani T3S elektr termometr bilan oʻlchandi.
Guruxlardagi laxtaklarning xarorat gradientlari solishtirilganda regionar anesteziya oʻtkazilgan mikrosirkulyasiyani yaxshilangani, total vena ichi anesteziyasi nisbatan koʻrsatdi. Olingan natijalar xirurgik amaliyotda tekshirilayotgan bemorlarda laxtak termometriyasida xam ijobiy oʻzgarish kuzatildi. Bu regionar anesteziyada foydalangandagi boshqa tasdiqlangan anesteziya usullariga nisbatan tashrix oʻtkazilgan toʻqimalarda kamroq asoratlarni keltirib chiqaradi
Библиографические ссылки
Andreyenko A.A., Dolbyeva E.L. Stomov V.N. Ensuring patency of the upper airways in the hospital. Clinical recommendations of the federation of anesthesiologists and resuscitators (second revision 2018) Bulletin of Intensive Care named after A.I. Sultanov. Saltanov A.I. 2019. 2. 7-31.(in Russ).
Korneev A.V., Orudzheva S.A., Kudryavtsev A.N. Features of difficult airways in patients with burns of the face and neck. Vestnik anesthesiologii i reanimatologii. 2019.Т16. Т6. 67-73 .(in Russ).
Tae. Hyun Han et al. Management of difficult airway in patients with field burn mentosternal and perioral and scar contractures. International Sur. of Burns and Trauma,2012,2(2),80-85 .(in Russ).
Ander F.,Magnuson A de Leon A., Ahlstrand R.Does the B-receptor angtagoist esmolol have analgesic effects? A randomized placebo-controlled cross-over study on healthy voluntreers undergoing the cold pressor test.European Journal of Andaesthesiology.2018;359(3);165-172.DOI;10. 1097/ EJA.0000000000000711
Popat M., Mitchell V., Dravid R., Patel A., Swampillai C., Higgs A. Difficult Airway Society Guildelines for the management of tracheal extubation. Anaesthesia 2012;67(3);318-340.DOI;10.1111/j.1365-2044. 2012. 07075.x
Gelineau AM,KING MR Ladhe KS,BURns SM,Houle T, Anderson TA. Intraoperative esmolol as an adjunct for perioperative opioid and postoperative pain reduction: A systematic review, meta-analysis, and meta-regression. Anesthesia and Analgesia.2018;
Novitsky Y.W., Orenstein S.B. Effect of patient and hospital characteristics on outcomes of elective ventral hernia repair in the United Staes.Hernia 2013;248:639-645
Pannucci C.J., Dreszer G., Wachtman C.F., et al.Postoperative enoxaparin prevents’ symptomatic venous thromboembolism in high-risk plastic surgery. Plast. Reconstr Surg.2011;128;1093-1103
Queenie Hy Mak, Hing T.Ch, Michael Y.J. Anesthesia for plastic and reconstructive surgery Anesth. and inteks. Care Med.,2022,1,64-69
Schnell D., Planquette B., Berger A. et al. Cuff Leak Test for the Diagnosis of Post-Extubation Stridor J. Intensive Care Med.2017.
Shady N., Hayek, Arij M.El et al. Does Surgical release of neck burn contracture result in airway improvement? S. of Anesthesia and Critical care,2017,7(6),14-12.
V.Whizar-Jugo A.C. Cardenas-Maytorena Anesthesia for Plastic Surgery Procedures Anest. And Jnt Care Med, 2019,2,16-21.
Watts R., Thiruvenkatarajan V., Calvert M., Newcombe G., van Wijk R.M., The effect of preoperative esmolol on early postoperative pain: A systematic review and meta-analysis. Journey of Anaesthesiology Clinical Pharmacology.2017; 33:28-39. DOI:10.4103/0970-9185.
Статья поступила в редакцию 10.05.2024; одобрена после рецензирования 21.06.2024; принята к публикации 29.06.2024.
The article was submitted 10.05.2024; approved after reviewing 21.06.2024; accepted for publication 29.06.2024.
