ANESTHETIC TACTICS IN THE MANAGEMENT OF PATIENTS WITH MULTIPLE REOPERATIONS DUE TO BURN CONSEQUENCES

Authors
A.Kh. Shaimonov1;2 M.F. Rajabov1 M.S. Saidov1;2 N.Kh. Shamsov1
Job:
1 Republican Scientific Center for Cardiovascular Surgery 2 Society of Plastic and Aesthetic Surgeons of Tajikistan, Dushanbe, Tajikistan
DOI:
10.65197/3106-4035-2025-1-1-39-50

Annotation

Resume.Surgical treatment and anesthesia in patients with

Goal. To evaluate the results of surgical treatment of remote consequences of burns of various localizations, using local anesthesia methods.

Material and methods. The basis of this scientific work were the data obtained during the examination of 24 individuals observed in the Department of Reconstructive Surgery of the Republican Scientific Center for Cardiovascular Surgery in the period from 2014 to 2024. The reason for seeking medical attention was postburn cicatricial deformities that had developed no earlier than a year before seeking medical attention. In 12 individuals who participated in our study, scars were localized on the upper limbs. In 4 particularly severe cases, postburn bands extended to the neck and chest. There were nine patients with cicatricial deformities in the lower limbs. In five cases, thermal damage was noted on both sides. In three cases, the patients had burns localized in the chest and neck. All of the above individuals had a history of general anesthesia at least 6 times. Given this fact, it is not surprising that alternative methods of pain relief had to be sought.

Results. The data showed high efficiency of using anesthesia methods that are not related to general anesthesia. Conduction anesthesia provides both optimal pain relief in the intraand postoperative period and normal tissue blood supply, which is confirmed by the data on measuring transcutaneous oxygen pressure. Spinal and epidural anesthesia are highly compatible with scar contracture surgery

Conclusion. Thus, in patients with late burn sequelae who present for repeated unsuccessful surgeries, the choice of alternatives to general anesthesia is an important element in ensuring satisfactory postoperative results. Epidural, spinal and epidural anesthesia not only p

Keywords

. Conduction anesthesia post-burn scar contractures spinal anesthesia epidural anesthesia local anesthesia.

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List of literature

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Information
Language

English

License

CC BY 4.0

Category

Anesthesiology and resuscitation

FINANCING

There was no financial support.

CONFLICT OF INTEREST

The authors declare no conflict of interest.

INFORMATION ABOUT THE AUTHORS:

*Шаймонов Азиз Хусейнович – кан- дидат медицинских наук, старший на- учный сотрудник отделения восстано- вительной хирургии, Республиканского научного центра сердечно-сосудистой хирургии, Душанбе, Таджикистан. E-mail: scorpio-as@list.ru https://orcid.org/0000-0002-9872-9718 Раджабов Мехрубон Фаррухович – научный сотрудник отделения восстано- вительной хирургии, Республиканского научного центра сердечно-сосудистой хирургии, Душанбе, Таджикистан. E-mail: merikrf@yandex.ru https://orcid.org/0000-0002-6766-1431 Саидов Махмадулло Сайфуллоевич – научный сотрудник отделения восста- новительной хирургии, Республикан- ского научного центра сердечно-сосуди- стой хирургии, Душанбе, Таджикистан. E-mail: mahmad_jon1974@mail.ru http://orcid.org/0000-0001-9003-1609 Шамсов Нодир Хизматуллоевич – научный сотрудник отделения эндо- хирургии, Республиканского научного центра сердечно-сосудистой хирургии, Душанбе, Таджикистан. E-mail: omarion@list.ru

*Correspondence address.