title: [Long-term peridural anesthesia in fractures of pelvic bones].
abstract: A continuous peridural anesthesia was used in 20 patients with pelvic bones injuries. Puncture of the peridural space was performed in an appropriate patient's posture. During 3--15 days 5--12 ml of 2% trimecain solution were infused via a catheter. For patients being in a shock condition the anesthetic dose was 3-4 ml less. 4-5 minutes following injection of the anesthetic in the peridural space pain at the site of fracture disappeared, there was noted a stabilization of hemodynamic indices, and the ventilatory and cardiac functions were improved. Anesthesia contributes to an early restoration of intestinal peristalsis, diuresis, active management of patients in bed. Strict rules of its conduction being followed, continuous peridural anesthesia is an effective method of analgesia in pelvic bones injuries, associated with a traumatic shock, that enabled to use it in traumatological practice.
mesh_terms: D000083:Acetanilides / Q000031:analogs & derivatives*; D000293:Adolescent; D000328:Adult; D000767:Anesthesia, Epidural / Q000379:methods*; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007263:Infusions, Parenteral; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000517:prevention & control; D010149:Postoperative Pain / Q000517:prevention & control; D010384:Pelvic Bones / Q000293:injuries*; D011677:Punctures / Q000379:methods; D014288:Trimecaine / Q000008:administration & dosage*
chemical_list: D000083:Acetanilides; D014288:Trimecaine
vernacular_title: Dlitel'naia peridural'naia anesteziia pri perelomakh kosteĭ taza