INFLUENCE OF ANESTHETIC MANAGEMENT TECHNIQUES ON THE EARLY POSTOPERATIVE COURSE IN PATIENTS WITH MINE-EXPLOSION AND GUNSHOT LIMB INJURIES

Introduction. Over the past decade, the outcomes of trauma care have undergone significant improvements. The survival rates of both civilians and military personnel injured in combat have markedly increased due to advancements in the quality of first aid at the point of injury and medical care in healthcare facilities. When hospitalizing a patient with traumatic injuries, it is crucial to consider potential risks associated with anesthetic management and the postoperative period. Implementation of massive transfusion protocols and patient routing strategies for critical hemorrhage is essential in every healthcare facility, as these measures significantly improve survival in this patient population. The use of vasopressors helps reduce the need for excessive fluid resuscitation, thereby lowering the risks of hemodilution and tissue edema, particularly in the context of severe coagulopathy and ongoing blood loss. Effective postoperative pain management is a key factor in reducing complications, shortening the length of stay in the intensive care unit and overall hospitalization, and enabling early rehabilitation. Objective. To improve treatment outcomes in patients with mine-blast and gunshot limb injuries by assessing the course of the early postoperative period depending on the method of anesthetic management. Materials and Methods. This study includes the treatment outcomes of 61 patients who were hospitalized at the Kyiv City Clinical Hospital № 17 with mine-blast and/or gunshot injuries and received care at this institution from February 2022 to October 2023. Discussion. The findings of this study clearly demonstrate significant advantages of using regional anesthesia techniques during primary and staged surgical interventions in patients with mine-blast and gunshot limb injuries, compared to the use of general anesthesia. Conclusion. The results of the study indicate that the choice of anesthetic technique has a substantial impact on the patient's hemodynamic stability, the severity of postoperative pain syndrome, and the frequency of perioperative complications in patients with combat-related trauma