Arthroscopic anterior cruciate ligament reconstruction in adolescents. What to choose for anesthesia?

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Abstract

The purpose - to optimize the quality of perioperative management of adolescents with damage of the anterior cruciate ligament of the knee. Material and methods: Perioperative methods of anesthesia in 71 patients were estimated. Psycho-emotional status was evaluated on the basis of determining the level of reactive anxiety (Spielberg Hanin scale) and intraoperative anesthesia (unilateral spinal anesthesia or combined) has been chosen. Results: According to the results of lactate and glucose levels in the blood the efficacy of unilateral spinal anesthesia during surgery was demonstrated. Visual analog scale revealed the advantage of extended continuous iliofascial block over an isolated femoral nerve blockade for adequate analgesia for postoperative period. The advantages of the performing continuous iliofascial block under ultrasound were demonstrated.

About the authors

M. D. Ivanov

Turner Scientific and Research Institute for Children 's Orthopedics

Author for correspondence.
Email: 8014800@gmail.com
Russian Federation

D. V. Zabolotskiy

Turner Scientific and Research Institute for Children 's Orthopedics; Saint-Petersburg State Pediatric Medical University

Email: docent-zab@mail.ru
Russian Federation

A. G. Kulev

Saint-Petersburg State Pediatric Medical University

Email: anest-kulev@mail.ru
Russian Federation

G. E. Ulrikh

Saint-Petersburg State Pediatric Medical University

Email: ostrovgl@rambler.ru
Russian Federation

K. E. Velichko

“Sportclinic”

Email: kostiaspb-84@mail.ru
Russian Federation

A. S. Kozyrev

Turner Scientific and Research Institute for Children 's Orthopedics

Email: alexkozirev@inbox.ru
Russian Federation

References

  1. Козырев А.С., Ульрих Г.Э., Заболотский Д.В., Кулёв А.Г., Качалова Е.Г., Виссарионов С.В., Мурашко В.В. Монолатеральная спинальная анестезия у детей. Травматология и ортопедия России. 2010;(2):13-17
  2. Корячкин В.А. Нейроаксиальные блокады . СПб.: ЭЛБИ-СПб.; 2013. 542 с
  3. Котельников Г.П., И.Г. Труханова. Травматическая болезнь. М.: ГЭОТАР-Медиа; 2009. 272 с
  4. Любошевский П.А., Артамонова Н.И.,Забусов А.В., Денисенко И.Л. Эпидуральная анестезия и стресс-ответ системы гемостаза при абдоминальных операциях высокой травматичности. Регионарная анестезия и лечение острой боли. 2007;1(4):31-33
  5. Овечкин А.М., Горобец Е.С., Шифман Е.М. (ред.) Избранные лекции по регионарной анестезии и лечению послеоперационной боли: Петрозаводск: Интел Тек; 2009. 159 с
  6. Радюк О.М. Родцевич О.Г. Диагностика уровней тревожности в психотерапевтической практике: учебно-методическое пособие. Минск: БелМАПО; 2003. 28 с
  7. Страшнов В.И., Забродин О.Н., Мамедов А.Д. Стресс-протективное действие сочетанной комбинированной спинально-эпидуральной анестезии при операциях на органах брюшной полости. Современные достижения и перспективы развития регионарных методов анестезию. В кн.: Всероссийская научно-практическая конференция с международным участием. СПб.; 2006. с. 85-88
  8. Bang-Vojdanovski B. 10 years of spinal anesthesia in infants and children for orthopedic surgery. Our clinical experience. Anaesthesist. 1996;45(3):271-277.
  9. Fanelli G., Borghi B., Casati A., Bertini L., Montebugnoli M., Torri G. Unilateral bupivacaine spinal anesthesia for outpatient knee arthroscopy. Can. J. Anaesth. 2000;47(8): 746-751.
  10. Huston L.J., Greenfield M.L., Wojtys E.M. Anterior cruciate ligament injuries in the female athlete. Potential risk factors. Clin. Orthop. Relat. Res. 2000;372:5.
  11. Kokki H., Tuovinen К., Hendolin H. Spinal anesthesia for pediatric day-case surgery: a double-blind, randomized, parallel group, prospective comparisions of isobaric and hyperbaric bupivacaine. Br. J. Anaesth. 1998;81(4): 502-506.
  12. Kuner R. Central mechanisms of pathological pain. Nat Med. 2010;16:1258-1266.
  13. Lawrence J.T., Argawal N., Ganley T.J. Degeneration of the knee joint in skeletally immature patients with a diagnosis of an anterior cruciate ligament tear: is there harm in delay of treatment? Am. J. Sports Med. 2012;39(12):2582-2587.
  14. Perka C., Arnold U., Buttergeit F. Influencing factors on perioperative morbidity in knee arthroplasty. Clin. Orthop. 2000;183:191-196.
  15. Richman J.M., Liu S.S., Courpas G., Wong R., Rowlingson A.J., McGready J., Cohen S.R., Wu C.L.: Does continuous peripheral nerve block provide superior pain control to opioids? A meta-analysis. Anesth. Analg. 2006;102:248-257.
  16. Swenson J.D., Bay N., Loose E., Bankhead B., Davis J., Beals T.C., Bryan N.A., Burks R.T., Greis P.E. Outpatient management of continuous peripheral nerve catheters placed using ultrasound guidance: An experience in 620 patients. Anesth. Analg. 2006;103:1436-1443.
  17. Tighe P.J., Brennan M., Moser M., Boezaart A.P., Bihorac A. Primary payer status is associated with the use of nerve block placement for ambulatory orthopedic surgery. Reg. Anesth. Pain Med. 2012;37(3):254-261.
  18. Trieshmann H.W. Knee arthroscopy: a cost analysis of general and local anesthesia. J. Arthroscopy. 1996;12(1):60-63.
  19. Wu C.L., Seth R., Cohen B.S. et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patientcontrolled analgesia with opioids. Anesthesiology. 2005;103:1079-1088.

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