Indices of hemodynamics in arthroplasty of the hip joint in conditions of various methods of anesthesia
Objective. Comparison of hemodynamical profiles in patients during the hip joint (HJ) arthroplasty procedure in conditions of different methods of anesthesia.
Materials and methods. In 132 patients during conduction of the HJ arthroplasty the perioperative hemodynamical indices, depending on the procedures of intraoperative anesthesia and postoperative anesthesia used, were estimated.
Results. Essential lowering of arterial pressure (AP) wth tendency towards bradicardia, demanding vasopressor’s support, were observed on background of spinal anesthesia. General anesthesia was accompanied by a certainly stable level of AP with episodes of tachycardia. Most stable hemodynamics was observed on background of paravertebral and caudal epidural anesthesia and blockade of the nerves of a lumbar plexus and n. ischiadicus. In postoperative period the hemodynamics was most stable on background of prolonged regional methods of anesthesia.
Conclusion. Prolonged paravertebral blocks constitute the optimal variant of anesthesia while performing the HJ arthroplasty in aspect of the hemodynamical stability guaranteeing.
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