Cherkes-Zade D I, Filatov O M, Lytkin Iu I, Liutov V D, Razenkov N N, Rybakov V S
Khirurgiia (Mosk). 1989 Aug(8):48-51.
The article generalizes experience in anesthesiological management of 178 elderly and old-aged patients with fractures of the proximal segment of the femur in endoprosthesis with a Mura-Cito prosthesis, 3-flange nail, Shesterni's fixation device, arched nail, etc. In contrast to endotracheal anesthesia and local anesthesia with neuroleptanalgesia potentiation, prolonged epidural anesthesia in 51 patients produced adequate intra- and postoperative anesthesia without causing respiratory complications and depression and facilitated early activation of the patient. Prolonged epidural anesthesia had advantages over other types of anesthesia in this category of patients.
本文总结了178例老年和高龄股骨近端骨折患者使用穆拉 - 西托假体、三翼钉、谢斯捷尔尼固定装置、弓形钉等进行人工关节置换术时的麻醉管理经验。与气管内麻醉和强化神经安定镇痛的局部麻醉相比，51例患者采用的长时间硬膜外麻醉在术中和术后均产生了足够的麻醉效果，未引起呼吸并发症和抑制，并有助于患者早期活动。在这类患者中，长时间硬膜外麻醉比其他类型的麻醉具有优势。
