The Role of Carrying Out Combined Unilateral Spinal and Epidural Anesthesia Using Low Doses of Local Anesthetics in Elderly Patients in Lower Limb Joint Arthroplasty

Abstract

Endoprosthetics of the joints of the lower limb is a very traumatic intervention. The relevance of this issue is due to the intensive development and introduction of the latest technologies in modern surgical interventions, including joint replacement, and a significant expansion of indications for surgical treatment. In connection with the above, anesthesia should correspond to the nature of this intervention: completely block nociceptive impulses, maximally reduce perioperative blood loss and the need for donor blood components, the likelihood of developing thromboembolic complications in the postoperative period, and the severity of postoperative pain syndrome