Spinal anesthesia surgery to rupture knee ligaments

The article was consulted professionally by Bsck I Nguyen Duc Tho – Anesthesithesiist – Surgical Anesthesio – Share99 Central Park International Health Hub

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And The article is consulted professionally by Specialist I Dang The Thanh – Anesthesiist – General Department – Share99 Nha Trang International Health Hub.

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Spinal anesthesia is an anesthesia technique in which anesthesia is injected into the srachnoid cavity. The aim is to temporarily inhibit neurodect conduction through the spinal cord, thereby meeting the inality requirement in surgery to rupture knee ligaments and relieve pain.

1. Rupture of knee ligaments

1.1. Knee ligament injury

Knee ligament rupture injuries include many forms such as:

  • Rupture of the anterior cruciate ligament;
  • Rupture of the anterior cruciate ligament;
  • Rupture of the later s cruciate ligament;
  • Cartilage damage…

Rupture of knee ligaments usually appears after an injury, causing the knee joint to swell, redness and pain for several weeks, then gradually remission. There are some cases of rupture of the anterior cruciate ligament that can still walk normally, but every time the movement is strong, the knee joint is painfully swollen.

1.2. Treatment in dinh

Not all injuries in this area require surgical intervention to rupture knee ligaments. Depending on the condition of the injury as well as the type of damaged ligament, the age of the victim and the need for movement …, the doctor will have appropriate prescribing.

Surgery to rupture the knee ligament is in the case of:

  • Patients with knee injuries, who have been examined and diagnosed with rupture of knee ligaments accompanied by idoid cartilage damage, or multiple ligament ruptures simultaneously with the lateral anterior cruciate ligament;
  • The patient has suffered a knee injury before, after a doctor's diagnosis of an anterior cruciate ligament rupture that causes the knee to loosen;
  • The patient is young, the tendon function is relatively good.

Rupture of anterior cruciate ligament is one of the most common knee injuries

Patients with a history of knee ligament injuries are prescribed surgery

1.3. Surgical procedure to rupture knee ligaments

The specialist will perform surgery to rupture the knee ligament in the following order:

  • Conduct spinal anesthesia or body anesthesia
  • The patient lies on his back, knees folded 90 degrees perpendicularly, thighs resting on the support tool and his feet on the support object;
  • Knee artoscopy to check and assess lesions;
  • Surgical surgery to rupture knee ligaments;
  • Sew the incision, do not place the conduct circulation, and carry out the fixing of the stretched pillow with a splint;
  • Cut only after surgery about 2 weeks.

2. When to have spinal anesthesia?

Similar to other methods of anesthesia and anesthesia, spinal anesthesia for the rupture of knee ligaments is relatively widely inorated for insymural and post-surgical pain relief. Contrainttrained in case of:

  • The patient refuses to perform;
  • Allergy to anesthesia;
  • Inflamed anesthetic needle puncture area;
  • Lack of sufficient cruiser volume, shock;
  • Severe hematoma disorders;
  • Treatment with anti-freezing drugs is not enough time;
  • Tight mitral valve stenosis and tight aortic valve;
  • Increased in-skull pressure.

3. Preparation steps

3.1. Implementer

The technique of spinal anesthesia to rupture the knee ligaments will be performed by the anesthesiist and the coordination and help of the specialist nurse of resuscitation anesthesia.

3.2. Emergency vehicles and monitoring

  • Resuscitation: Oxygen source, Ambu ball, mask, in-administration vehicle, anesthesia machine with breathing, electric shock, suction machine …
  • Res resuscitation drugs: Infusions, ephedrin, adrenalin …
  • Anti-seizure drugs: Belonging to the family of barbituric, benzodiazepin, muscle relaxion, intralipid 10 – 20%…
  • Regular monitoring: Electrocardiological meter, blood pressure measurement, oxygen saturation, breathing …

3.3. Anesthetics and anesthetics

  • Needle pumps and spinal anesthesia needles of all sizes;
  • Sterile gloves, hole towels and gauze;
  • Surgical clamps;
  • Disinfectant alcohol;
  • Bupivacain anesthetic, levobupivacain, ropivacain… can coordinate with morphine family drugs;

Note the dose of anesthesia based on the patient's weight, height and physical condition. Lower-than-usual dose reduction for adults over 60 years of age, with anemia and pregnant women.

3.4. patient

  • Be examined before surgery;
  • Explanation of the procedure taken to cooperate with anesthesia;
  • Cleaning the spinal cord area requires anesthesia;
  • If necessary, sedatives can be made the night before the day of surgery.

In addition, doctors must also check the patient's medical records in accordance with the general regulations of the Ministry of Health.

4. Proceeding process

After checking the records and full examination for the patient, the resuscitation anesthesial ekip will carry out the technique of spinal anesthesia following the following steps:

4.1. Prevention of hypotension

Intravenous transmission and 5 – 10 ml/kg in adults.

4.2. posture

● Sitting position: The patient sits arched back, bows his head so that the chin touches the chest, legs stretch on the operating table face or puts on the chair;

● Lying down: The patient lies on his side arching his back, knees close to the abdomen, chin to the chest.

4.3. Doctor performed

Fully dressed in protective protective wear:

● Wear a hat;

● Wear a mask;

● Wash your hands;

● Wear surgical gowns;

● Take erbiless gloves.

Then disinfect the needle puncture area 3 times with an analtic solution, and then cover the eptic hole towel.

4.4. Techniques of anaesthetic

● Middle line: Poke into the slit between 2 vertebrae, usually the vertebrae L3-L4 or L4-L5;

● Or Side Line: Poke about 1-2cm from the middle line, direct the needle to the middle line, up and out first;

● Beveled face direction of the anesthetic needle parallel to the patient's spine;

● Poke the needle until it notices a loss of resistance caused by the needle through the sural membrane;

● When the cerebral fluid comes out, turn the beveled nose of the needle towards the patient's head and pump the anesthetic.

anesthetize

Spinal anesthesia needs to be performed in major hospitals

5. track

● Signs of survival: Sense, heart rate, electrocardiary, blood pressure and oxygen saturation index;

● Sensory and motor blockade;

● Unexpected side effects;

Transfer the patient out of the Provincial Room if the following criteria are meets:

● No hemolysis and respiratory disorders;

● Fully recovered advocacy;

● The level of sensory blockade under the inguinal crease.

6. Accidents and handling

6.1. Drug accidents

● Allergies, anaphylactic shock (rare with next-generation anesthetics)

Handle by stopping the injection of anesthetics and applying the anti-anaphylactic regimen of the Ministry of Health.

● Anaesthetic poisoning

By injecting the wrong anesthetic into the blood vessels. Handling: stop using anesthesia, anti-convulsions, emergency respiratory resuscitation – respiration. If bupivacain and ropivacain group anaesthetic poisoning is transmitted intralipids.

6.2. Technical accidents

● Hypotension, slow pulse: Treatment with ephedrin, adrenalin, atropin and translational rehydrants;

● Headache: Let the patient lie still, compensate for enough epidemics, combine painkillers. If necessary, patch the sural membrane with blood patch;

● Nausea and vomiting: Control blood pressure and take anti-vomiting medications;

● Urinary squash: Apply warm compresses, or place a bladder cathetro if necessary;

● Full spinal anesthesia: Emergency respiratory resuscitation – rehabilitation;

● Other complications: Consultation and exploration to identify lesions and appropriate treatment;

● Failed anesthesia: Switch to insymural method.

In summary, spinal anesthesia is instability or pain relief for orthopedic surgery from the pelvic area to the lower 2 30s, including surgery to rupture the knee ligaments. This method is commonly applied today, but not all hospitals can perform the procedure well, especially spinal anesthesia that ruptures the knee ligaments. Therefore, you should go to specialized medical facilities to discuss before surgery.

Currently, Share99 International Health Hub has used spinal anesthesia in surgeries and treatments,.. Help patients not feel pain and minimize complications compared to other methods of anesthesia and anesthesia. Especially with a modern system of modern machines, along with a team of medical staff, experienced doctors will bring the best results to customers.

For direct advice, please click the HOTLINE number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • Application of mri in the diagnosis of knee injury
  • [Video] Knee diseases and how to prevent knee injuries
  • How much does the surgery reconstruct knee ligaments? Is it anesthesia or anesthesia during surgery?

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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