Anesthesia and perioperative medicine in orthopedic surgery

Srećković, Svetlana; Milovanovic, Darko; Stojimanovska, Nada; Ostojić, Marija; Lađević, Nebojša; Lađević, Nikola

doi:10.5937/sjait1902005s

Cited by 1 publication

(2 citation statements)

References 66 publications

(50 reference statements)

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“…Orthopedic surgery is a great challenge for anesthesiologists in the context of the patient's general condition, type of surgical procedure, and the patient's position during surgery [1]. Orthopedic surgery includes surgical procedures on the bone and joint system and soft tissues of the extremities.…”

Section: Introductionmentioning

confidence: 99%

“…Geriatric patients who undergo orthopedic surgery are a highrisk group of patients. As for the high-risk patients, the following factors contribute a lot: accompanying diseases, limited functional capacity, postoperative systemic inflammatory response, massive blood loss, and post-operative pain [1,2]. Orthopedic surgeries may be performed under general anesthesia, neuraxial block (spinal anesthesia), peripheral or central blocks.…”

Section: Introductionmentioning

confidence: 99%

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Advantages of spinal anesthesia in orthopedic surgery

Gojkovic¹,

Tatic

Maricic-Prijic

2022

Med pregl

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Introduction. Spinal anesthesia is one of the oldest and most commonly used regional anesthesia techniques. It is based on the injection of a local anesthetic into the subarachnoid space, during which there is a transient interruption of impulse conduction in the spinal nerve roots. Application of spinal anesthesia. The use of spinal anesthesia depends on the following factors: the site of the surgical procedure, the type and duration of the surgical procedure, the degree of necessary surgical relaxation, and presence of accompanying diseases. Local anesthetics used in spinal anesthesia. There are two types local anesthetics used in spinal anesthesia. These are local anesthetics of the ester and amide type. Most frequently applied local anesthetics are those of the amide type. Orthopedic procedures under spinal anesthesia. The most common surgical procedures in orthopedic surgery performed under spinal anesthesia are hip, knee and ankle surgeries. Complications of spinal anesthesia. The most common complications of spinal anesthesia are hypotension, bradycardia, urinary retention, and postpuncture headache. Conclusion. The advantages of spinal over general anesthesia in orthopedic surgery include lower incidence of respiratory and myocardial depression, better peripheral tissue perfusion, minimal coagulation system disorders and prolonged postoperative analgesia.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%