Selection of the optimal option of anesthesiological aid when conducting reconstructive-plastic surgery in the upper limb
Abstract
167 patients aged 16 to 55 years who underwent reconstructive plastic surgery on the upper extremities for the consequences of burns and injuries. All patients used 4 different types of anesthetic options; The first group is total intravenous anesthesia (TIA). Second group TIA induction with propofol (TIA PF)\n\n The third group of patients with the help of ultrasound navigation underwent blockade of the brachial plexus.\n\nIn the fourth (IV) group, local anesthesia and intravenous administration of benzodiazepines and ketamine in conventional sedating dosages (CLA) were used in combination.\n\nThe results of the studies carried out in patients who used various options for anesthesia during reconstructive plastic interventions performed on the upper extremities made it possible to formulate a comparative analysis: the inclusion of transcutaneous perioperative determination of the partial pressure of oxygen in the displaced fascial skin flaps allows monitoring the delivery of oxygen to the operated areas and can be a predictive criterion for the effectiveness of the operation.\n\nIntraoperative control of the central, peripheral temperature and the affected area with the fixation of their gradient is a rather informative method for assessing the adequacy of the anesthesia of the RPH.