FIELD: medicine.
SUBSTANCE: conductor anesthesia and tumescent anesthesia are performed. With this, an echocontrolled conductive anesthesia of the femoral and / or sciatic nerves is performed. At femoral nerve anesthesia a puncture is performed in the place of nerve visualization, 0.5-1 cm above the inguinal fold, and for the sciatic nerve - at the point of tibial and peroneal nerves division. The dose of lidocaine in the blockade is 40, 200, 400 mg per blockade, depending on the individual characteristics of the patient and the volume of the operation. After echo-controlled conductive anesthesia, tumescent anesthesia is performed in the fascial case of the large or small saphenous vein in the miniplebectomy zone using an automatic pump. If it is necessary to intervene on the trophic ulcer, an application of cream with local anesthetics is performed 2 hours prior to the surgery on its surface.
EFFECT: method allows to increase the effectiveness of anesthesia, avoiding the potential risks of regional anesthesia and can be performed on an outpatient basis.
2 cl, 3 ex
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Authors
Dates
2018-01-22—Published
2017-01-19—Filed