Vol 6, No 3 (2012)

The goal of the study was to test and assess difference in effect of different types of infused solution (Ringer's solution and HEX 130/0,4) on incidence of intraoperative nausea and vomiting (IONV) in patients undergone cesarean section under spinal anesthesia. Patients (n=76) were randomized into 2 groups depending on qualitative composition of infusion. There were no statistically significant difference between two studied group in demographic and obstetric parameters. No statistically significant difference of IONV incidence was found out between two groups. However small sample volumes doesn't allow asserting that Ringer's solution and HEX130/0,4 have equal effect on IONV incidence. Further studies with greater samples are needed to clarify this question.

The article presents technique of instant femoral nerve block followed by catheter tunneling for prolonged femoral nerve block as a part of balanced anesthesia and multicomponent analgesia in knee surgery. The study included 23 patients (15 patients underwent knee replacement, 8 patients underwent knee ligamentoplasty). No cases of catheter migration, its entry site infection, as well as local anesthesia-related complications or toxic reactions were detected. The proposed technique decreases the risk of catheter migration and ensures the long-lasting and effective peripheral neuraxial block perioperatively.