The use of articaine for anesthetic support in geriatric patients with degenerative-dystrophic hand and forearm conditions: results of a randomized trial

Author:

Chulovskaya I.  G.1ORCID,Egiazaryan K.  A.2ORCID,Shatov A.  M.3ORCID,Kosmynin V.  S.3ORCID

Affiliation:

1. Pirogov Russian National Research Medical University; Russian Gerontological Research and Clinical Center

2. Pirogov Russian National Research Medical University

3. Russian Gerontological Research and Clinical Center

Abstract

Aim. To conduct a comparative analysis of the effectiveness of local anesthetics used for regional anesthesia.Methods. An open randomized study was conducted to assess the effiacy and safety of Articaine-Binergia 20 mg/ml and Lidocaine as local anaesthetics for anaesthesia at two levels (axillary and wrist) during surgical procedures on the upper limbs of geriatric patients with degenerative-dystrophic hand and forearm conditions.Results. The results of the study convincingly proved the advantage of Articaine-Binergia 20 mg/ml in terms of effiacy and safety. A notable advantage observed was the shorter latency period, which translates into reduced patient time in the operating room and increased operational effiiency.Conclusions. Based on the study fidings, Articaine-Binergia is recommended for anaesthesia in traumatology-orthopedics involving upper limb procedures, especially for patient groups at higher risk of systemic toxicity.

Publisher

Center of Endourology Endocenter

Subject

General Medicine

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