Оценка эффективности применения методики высокой спинальной анестезии при операциях на верхнем этаже брюшной полости

Acta Biomedica Scientifica

А. Б. Якушевский²  А. Н. Плеханов⁵ 

[1] НУЗ «Отделенческая клиническая больница на ст. Улан-Удэ ОАО «РЖД»;ФГБНУ «Иркутский научный центр хирургии и травматологии»;ФГБОУ ВПО «Бурятский государственный университет»;НУЗ «Отделенческая клиническая больница на ст. Улан-Удэ ОАО «РЖД»;ФГБОУ ВПО «Бурятский государственный университет»

关键词: спинальная анестезия;    брюшная полость;    хирургическая операция;    результаты;   

DOI  :  

学科分类：自然科学（综合）

来源: Scientific entre for Family Health and Human Reproduction Problems

【 摘 要 】

Authors of the given work develop a technique of high spinal anaesthesia in the operations on the upper part of abdominal cavity, and also conduct the assessment of its efficiency and safety at the operations. Experience of performance of 112 operations is presented. The given way of one-stage high spinal anaesthesia allows to achieve the high neuromuscular block to level of the 1-2 ndthoracic vertebras. Time introductions anaesthetics in volume to 5 -10 ml. makes (on the average) 1 - 2 minutes that allows to create high degree of turbulence of an entered solution and as promotes distribution of vortical streams in cranial a direction liqour spaces for the purpose of distribution anaesthetics further from an injection place. In the early postoperative period anaesthesia was not required from patients narcotic analgetics. Complications in a kind: headaches, a nausea, vomiting, temperature it has not been noted. Complications from operative intervention it was not marked. In article it is shown that high spinal anaesthesia has considerable advantages before other kinds of anaesthesia, in particular before endotrachea a narcosis. It is easier transferred by the patient, does not cause terrible complications.

【 授权许可】

CC BY