[Choice of anesthesia in gunshot wounds of extremities].

The analysis of treatment of 452 victims with wounds of extremities for the period from 1984 to 1994 years was carried out. 171 patients had fire-arm wounds in local conflicts. Surgical wound management in 43% of victims was carried out under local infiltration anesthesia, in 28.3%--under conduction and prolonged conduction anesthesia, 27.8%--under general anesthesia and in 0.9%--under intraosseal anesthesia. The author suggests that as the gravity of firearm wound increases and wound infection progresses, the indications for infiltration and intraosseal anesthesia should be limited. In multiple and combined wounds, damages and tearing off the extremities, followed by shock, blood loss, general anesthesia would be indispensable. Conduction, prolonged anesthesia is quite reliable in mechanical cleansing of wound in process of surgical treatment, in early postoperative period, promotes improvement of regional hemodynamics and favours uneventful wound healing.