On the question of improving the efficiency and safety of surgical treatment of patients with chronic venous insufficiency
DOI:
https://doi.org/10.15587/2313-8416.2016.67692Keywords:
tumescent anesthesia, lidocaine, articaine, index of neutrophils lesion, allergyAbstract
Background: For today there is no reliable method of determination of allergy to the local anesthetics in vitro.
Materials and methods: In this research authors evaluated the safety and efficiency of the choice of the solution for tumescent anesthesia. The choice depended on the result of “index of neutrophils lesion” that was evaluated in pre-surgical period. At 182 (83,5 %) interventions in 157 (83,1 %) patients with case anesthesia (CA) was used the Klein solution. In 36 (16,5 %) cases in 32 (16,9 %) patients for tumescence was used the original medicinal composition.
Results: the mean volume of administered anesthetic for the one patients at the one intervention is 366±92 ml (p<0,05) at the use of Klein solution and 540±167 ml (p<0,001) at the use of the offered medicinal composition. Allergic reactions were not revealed.
Conclusions: Evaluation of the “index of neutrophils lesion” in pre-surgical period allows orient in the choice of solution for tumescent anesthesia and, as the result, increases the safety of patientReferences
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Copyright (c) 2016 Рустем Рамзиевич Османов, Оксана Сергеевна Рябинская, Борис Алексеевич Кабаков
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