Influence of Anesthesiologic Provision at Total Replacement of Lower Extremity Large Joints in Early Postoperative Period on State of Patients with Cardio-Vascular Pathology

Abstract

In patients with cardio-vascular diseases total replacement of lower extremity large joints possesses high risk of severe hemodynamic complications. Method of combined epidural and general intravenous anesthesia providing minimum depressing influence on myocardium and allowing adequately prevent the patient from operative trauma was elaborated. In early postoperative period prolonged epidural block in combination with nonsteroid anti-inflammatory drugs results in the best anesthesia and stabilizes hemodynamics in patients with concomitant cardio-vascular pathology.