Impact of anesthesia and postoperative analgesia on early mobilization of patients after the hip joint arthroplasty
Objective. Аnalysis of anesthesia and postoperative analgesia, concerning capacity of patients to pass after the hip joint arthroplasty.
Маterials and methods. In 150 patients the distance was estimated, which they passed for 6 min. The investigation was done during 3 days after arthroplasty of the hip joint, depending on method of intraoperative anesthesia and postoperative analgesia.
Results. The patients, who were operated on, using paravertebral blockade in combination with caudal epidural anesthesia, have shown better results of the 6-minute test, comparing with patients, who were operated under general anesthesia, with conduction and spinal anesthesia. In postoperative period the patients, who obtained durable paravertebral analgesia, better covered the distance for 6 min, comparing with patients, to whom systemic injections of opioids and epidural analgesia were applied.
Conclusion. Paravertebral blockade promotes early physical restoration in patients after arthroplasty of the hip joint.
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