RU95108614A - Method for applying general anesthesia in surgical emergency operations to patients having traumatic shock
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Method for applying general anesthesia in surgical emergency operations to patients having traumatic shock
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Publication number
RU95108614A
RU95108614ARU95108614/14ARU95108614ARU95108614ARU 95108614 ARU95108614 ARU 95108614ARU 95108614/14 ARU95108614/14 ARU 95108614/14ARU 95108614 ARU95108614 ARU 95108614ARU 95108614 ARU95108614 ARU 95108614A
Новокузнецкий филиал Научно-исследовательского института общей реаниматологии АМН России
Новокузнецкий институт усовершенствования врачей
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Application filed by Новокузнецкий филиал Научно-исследовательского института общей реаниматологии АМН России, Новокузнецкий институт усовершенствования врачейfiledCriticalНовокузнецкий филиал Научно-исследовательского института общей реаниматологии АМН России
Priority to RU95108614ApriorityCriticalpatent/RU2104053C1/en
Publication of RU95108614ApublicationCriticalpatent/RU95108614A/en
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Publication of RU2104053C1publicationCriticalpatent/RU2104053C1/en
Infusion, Injection, And Reservoir Apparatuses
(AREA)
Medicines That Contain Protein Lipid Enzymes And Other Medicines
(AREA)
Pharmaceuticals Containing Other Organic And Inorganic Compounds
(AREA)
Acyclic And Carbocyclic Compounds In Medicinal Compositions
(AREA)
Abstract
FIELD: medicine. SUBSTANCE: method involves inducing anesthesia in preoperative preparation period by intravenously injecting Nubainum at a bolus dose of 0.6-0.8 mg/kg/h 40-60 mg each hour. Nubainum is intravenously injected at a dose of 40-50 mg during premedication period. 7-10 min later, after performing premedication treatment and having begun with diprivine infusion at a dose of 1.0 mg/kg/h, induction is carried out into ketamine anesthesia. Anesthesia is supported by infusing diprivine at a dose of 1.0-3.0 mg/kg/h in combination with Nubainum intravenously injected at a bolus dose of 20-40 mg before making incision, applying 40-60 mg every hour. 60-80 mg of Nubainum is additionally administered at traumatic moments in the course of the operation. Its last injection is carried out 5-10 min before finishing the operation. EFFECT: reduced risk of postoperative complications.
Claims (1)
Изобретение относится к медицине, а именно к анестезиологии и реаниматологии и может быть использовано для анестезиологического обеспечения неотложных оперативных вмешательств у больных с травматическим шоком. Задачей изобретения является предложение нового способа общей анестезии при экстренных оперативных вмешательствах, что позволит снизить риск операционных и послеоперационных осложнений у больных с травматическим шоком. Новизна изобретения состоит в том, что предварительно на этапе предоперационной подготовки осуществляют обезболивание внутривенным болюсным введением нубаина в дозе 0,60 - 0,80 мг/кг/ч по 40 - 60 мг каждый час, в премедикацию вводят внутривенно нубаин в дозе 40 - 50 мг, через 7 - 10 мин после премедикации и начала инфузии дипривана в дозе 1,0 мг/кг/ч выполняют индукцию в анестезию кетамином, а поддержание анестезии осуществляют инфузией дипривана в дозе 1,0 - 3,0 мг/кг/ч в сочетании с внутривенным болюсным введением нубаина в количестве 20 - 40 мг перед разрезом, 40 - 60 мг каждый час и в травматичные моменты операции дополнительно вводят 60 - 80 мг нубаина, а последнее введение его производят за 5 - 10 мин до окончания операции.The invention relates to medicine, namely to anesthesiology and resuscitation and can be used for anesthetic management of emergency surgical interventions in patients with traumatic shock. The objective of the invention is to propose a new method of general anesthesia for emergency surgical interventions, which will reduce the risk of surgical and postoperative complications in patients with traumatic shock. The novelty of the invention lies in the fact that, at the preoperative preparation stage, anesthesia is carried out by intravenous bolus administration of nubain at a dose of 0.60 - 0.80 mg / kg / h, 40-60 mg every hour, and nubain at a dose of 40-50 is administered intravenously mg, 7-10 minutes after premedication and the start of the infusion of diprivan at a dose of 1.0 mg / kg / h, ketamine anesthesia is performed, and maintenance of anesthesia is carried out by infusion of diprivan at a dose of 1.0 - 3.0 mg / kg / h combined with an intravenous bolus of nubain in an amount of 20-40 mg before incision , 40 - 60 mg per hour and to traumatic operations moments additionally introduced 60 - 80 mg Nubain and last introduction it is produced in 5 - 10 minutes before the operation is completed.
RU95108614A1995-05-261995-05-26Method of general anesthesia at urgent operative interferences in patients with traumatic shock
RU2104053C1
(en)
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