Effect of anesthesia on the neurovegetative stability, tissue perfusion and microcirculation in the foot and ankle surgery

The article presents data on the early postoperative period in 75 patients with trauma of the distal lower extremities, depending on the type of anesthetic management. We compared patients with isolated spinal anesthesia, patients with spinal anesthesia combined with local anesthesia of the area of surgery and patients with a combination of spinal, local and conduction anesthesia of peripheral nerves of the lower extremity. It is proved that the most preferable option is the use of complex anesthetic management, including spinal, local and regional anesthesia. This type of anesthesia allows reliable control of pain syndrome, ensures stable parameters of vegetative homeostasis in the early postoperative period, improves the microcirculation and tissue perfusion.

regional anesthesia, local anesthesia, neurovegetative homeostasis, microcirculation