##plugins.themes.academic_pro.article.sidebar##

Download
pdf
Statistic
Read Counter : 82 Download : 67

##plugins.themes.academic_pro.article.main##

Abstract

56 patients aged 16 to 50 were under the experience of reconstructive plastic surgery for postburn contractures of the face, neck and chest. According to the anesthetic manual we used, the patients were divided into 2 groups: in the first (1) group - 27 patients (48.2%) used regional anesthesia (blockade of the cervical plexus and 3 branches of the trigeminal nerve). In the second (2) group of 29 patients (51.8%), reconstructive plastic surgery (RPS) was performed under the conditions of total intravenous anesthesia with benzodiazepines, ketamine, fentanyl with myoplegiaarduan in standard age dosages. Oxygen pressure in the soft tissue (PTKO2) of the operated area was examined using a Clark-type transducer using percutaneous contact polarography. The temperature was measured with an electric thermometer with fixation of the central T1C (oral cavity) and peripheral T2C (subclavian region), as well as the affected area T3C. Compared temperature gradients of the flaps at the stages in the groups indicate (indirectly) a microcirculation with regional anesthesia better than TVA. Our obtained results according to the data of thermometry of the flaps at the stages of surgical intervention are quite consistent with those changes in oxygen tension in the tissues of the flap (PTKO2-) in the patients examined by us. This resultsare less complicated in the operated tissues rather than other proven anesthesia methods when using regional anesthesia.

Keywords

reconstructive plastic surgery methods of anesthesia regional anesthesia oxygen pressure

##plugins.themes.academic_pro.article.details##

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite
Sadikova Minura Adkhamovna. (2022). Additional Criteria For Assessing the Effectiveness of Anesthesia in the Process of RPO (Reconstructive Plastic Surgery) In Patients with Post-Burning Contractures of the Face, Neck and Chest. Texas Journal of Medical Science, 8, 22–27. https://doi.org/10.62480/tjms.2022.vol8.pp22-27
Crossref
Scopus
Google Scholar
Europe PMC

References

  1. Altermatt F.R.,Munoz H.R., Delfino A.E., Cortinez L.I. Preoxygenation in the obese patient; effects of position on tolerance to apnea. Br.J.Anaesth.2005;95;706-709.DOI:10.1093/bja/aei231
  2. 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
  3. 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
  4. Dixon B.J., Dixon J.B., Carden J.R,ey al. Preoxygenation is more effective in the 25 head-up position than in the supine position in severely obese patients: a randomized controlled study. Anesthesiology.2005;102;1110-1115
  5. Finfer S., Chittock DR,SU SY,et al. Intensive versus conventional glucose control in critically ill patients.N Engl J.Med 2009;360:1283-1297
  6. Gasser A., Forbes RM. Advanced glycation: Implications in tissue damage and disease. Protein Pept Lett.2008;15:385-391
  7. 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;
  8. Goldberg M.E.,Norris M.C.,Linjani G.E,et al. Preoxygenation in the morbidly obese: A comparison of two techniques.Anesth.Anagl.1989;68,520-522.
  9. Greenhalgh DG Wound healing and diabetes mellitus. Clin Plast Surg 2003;30:37-45
  10. Griesdale DE,de Souza RJ,van Dam RM,et al. Intensive insulin therapy and mortality among critically ill patients: A metaanalysis including NICE-SUGAR study data. CMAJ 2009;180:821-827
  11. Hatef D.A., Nguyen M.Q,et al. Thromboebolic risk assessment and the efficacy of enoxaparin prophylaxis in excisional body contouring surgery. Plast Reconstr Surg.2008;122:1093-1103.
  12. Latham R.,Lancaster A.D.,Covington J.F.,Pirolo J.S.,Thomes C.S Jr. The association of diabetes and glucose control with surgical site infections among cardiothoracic surgery patients. Infect Control Hops Epidemiol.2001;22:607-612
  13. 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
  14. Onah J.J. A classification System for Postburn Mentosternal Contractures Arch.Surg.,2005,V140,p671-675
  15. 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
  16. Queenie Hy Mak, Hing T.Ch, Michael Y.J. Anesthesia for plastic and reconstructive surgery Anesth. and inteks. Care Med.,2022,1,64-69
  17. Ramos M., Khalpey Z.,Lipsitz S,et al.Relationship of preoperative hyperglycemia and postoperative infections in patients who undergo general and vascular surgery. Ann surg.2008;248:585-591
  18. Schnell D.,Planquette B.,Berger A. et al. Cuff Leak Test for the Diagnosis of Post-Extubation Stridor J. Intensive Care Med.2017.
  19. 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