Abstract
The relevance of the topic is due to the prevalence of lower limbs injuries in people of working age, the complexity of the methods of their surgical treatment and the problem of finding the optimal method of anesthesia in terms of efficiency and safety.
 Objective of the study: to conduct a systematic analysis of modern scientific literature data on the possibility of using anesthesia methods during surgical interventions and in the case of anesthesia for injuries of the lower limbs in people of working age.
 Materials and methods. A search for scientific sources was carried out in the scientometric databases Scopus and Web of Science, Google Scholar, archives of journals using the keywords "general anesthesia", "regional anesthesia", "injuries of the lower limbs", "young people", "general anesthesia". The search depth was 8 years.
 Conclusions. The problem of choosing the method of anesthesia during traumatological surgeries in people of working age has no final solution. In general, both general and regional anesthesia can be used, despite their advantages and the possibility of complications in each case. However, in clinical practice over the past decade, general anesthesia is not always the best method of pain relief. But regional methods have less effect on the vital functions of the body, and the use of ultrasound navigation and modern local anesthetics in a minimum sufficient amount makes anesthesia conduction more effective and safe. The disadvantages of regional anesthesia can be avoided by combining it with general anesthesia. However, in the available literature, there are no recommendations on the differentiated choice of the method of anesthesia for surgical interventions on the lower limbs in people of working age and the factors that influence this
Highlights
Introduction1. Intoduction Limb injuries occur in people of all ages
Improvements in the methods of general anesthesia, the relative simplicity of its implementation, the rapid achievement of the patient's readiness for surgery against regional anesthesia maintain the widespread use of this type of anesthesia
Regional anesthesia in the treatment of pathology of the lower limbs remains the cornerstone of anesthesiology in traumatology practice
Summary
1. Intoduction Limb injuries occur in people of all ages. It is necessary to note some pathogenetic signs that require simultaneous correction of traumatologists and anesthesiologists First of all, such patients have a pronounced pain syndrome, caused, on the one hand, by direct damage to bones, nerves and surrounding tissues, on the other – local circulatory disorders and edema [6]. There is a lack of unanimous recommendations for analgesia in patients with injuries of the lower limbs, in clinical practice, along with the methods of general anesthesia and regional anesthesia [8]. The aim of the research was to conduct a systematic analysis of current data in the scientific literature on the possibility of using anesthesia methods during surgery for injuries of the lower limbs in people of working age
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