ВОПРОСЫ АНЕСТЕЗИОЛОГИЧЕСКОГО ОБЕСПЕЧЕНИЯ ПАЦИЕНТОВ С ПЕРЕЛОМАМИ ПРОКСИМАЛЬНОГО ОТДЕЛА БЕДРЕННОЙ КОСТИ

The anesthetic management among the patients with proximal femur fractures is important question since the injuries worsen the quite high risk of anesthesia in comparison with patients of the same age who are assigned to hip replacement. Objective – to study the influence of the anesthesia method choice and the importance of the surgical intervention terms on postoperative mortality, and to evaluate possible ways for improving the treatment results from the modern clinical recommendations view point into anesthetic practice. Materials and methods . During the research of the foreign and domestic literature, the issue of advantages of choice of one or other anesthesia techniques has been studied.   Particular attention was paid to the clinical significance of the peripheral nerve blocks use in the preoperative period, and its relationship with the immediate and long-term results of surgical treatment. Results. In contrast to the elective joint replacement, in the case of the acute trauma, regional anesthesia methods do not show special advantages over general anesthesia, even at the complete identity of the surgery. Conclusion. An operation performed within 48 hours from injury moment  and all  anesthesiologist’s  actions are considered as more important condition, on which the success and  the treatment result depends, as compared to a trivial choice between regional and general anesthesia during the operation.