SU1306585A1 - Method of anesthesiologic interference aid in surgical interferences - Google Patents

Abstract

The invention relates to medicine, namely to anesthesiology, resuscitation, and can be used for sedation, during surgery, and for long-term postoperative anesthesia. The purpose of the invention is to increase the duration of analgesia and prevent side effects. The purpose of the invention is achieved by administering the analgesic fentanyl and the antipsychotic drug droperidol endolymphatically. To do this, a lymphatic vessel is isolated on the back side under local anesthesia and its keterization is performed. For preoperative medical preparation on the eve of the operation, 0.1-0.2 mg of fentanyl and 5-10 mg of droperidol are administered at night. The introduction of these doses provides relief of pain, restful sleep. During surgery, the method is used as a component of general anesthesia. In the postoperative period, anesthesia begins after 8–10 hours for 2–3 days by administering the minimum doses of the indicated preparations with an interval of 8–12 hours. 9 (L with s o Qi 00 SL

Description

The invention is inclined to medicine, namely, to anesthetics - resuscitation, and can be used for sedation during surgery and for long-term postoperative pain management.

The purpose of the invention is to increase the duration of analgesia and prevent side effects.

The method is carried out in the following manner.

In the position of the patient on the back under local anesthesia (0.5% solution of novocaine), an indigo carmine dye is injected into the 1st interdigital space of one of the feet, which spreads through the lymphatic vessels and stains them. On the back of the foot, also under local anesthesia, a skin incision of about two centimeters in length is made, the lymphatic vessel is isolated and its catheterization is performed with a fluoroplastic catheter of 0.2-0.5 mm in diameter. The catheter is fixed with two ligatures, the skin is sutured.

For preoperative medical preparation, on the eve of an overnight operation, an analgesic — 0.1–0.2 mg of fentanyl and a neuroleptic — 5-10 mg of droperidol are administered endo lymphically through a catheter. The introduction of these doses, the proposed method provides relief of pain, restful sleep.

During surgery, the proposed method is used as a component of general anesthesia. 30–40 minutes before the operation, 0.1–0.2 mg of fentgsil and 5–10 mg of droperidol are administered to the endolymphatic. General anesthesia was performed according to the generally accepted method, taking into account analgesics and neuroleptics applied to the lymphatic system.

In the postoperative period, anesthesia begins 8-10 hours after the operation (depending on the time of the onset of postoperative pain syndrome), for which 0.1 mg of fentanyl and 5 mg of droperidol are administered endo-lymphatically with an interval of 8-12 within 2-4 days. The timing of the administration of analgesics and neuroleptics in the postoperative period depends on the duration of the postoperative pain, but is usually 2-4 days.

The proposed method can be used as in all three stages.

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anesthetic management of surgical intervention — for sedation, during surgery and in the postoperative period, and at one of these stages, for example, for anesthesia only during the postoperative period.

Example, Patient B., 28 years old, was admitted with a diagnosis of complicated fracture of the body C of the vertebra with radicular pain syndrome. For carrying out the anesthesia according to the invention, a lymphatic vessel catheterization was performed. Concomitant pathology is not revealed. Pulse 63 beats./min, HELL 120/80 mm Hg

The operation was performed: reposition of the chronic rewaxing C vertebra with fixation with metal brackets for the roots of the arches of the adjacent vertebrae. The night before, an analgesic, 0.1 mg of fentanyl and neuroleptic, 5 mg of droperidol, was administered endo lymphatically via a catheter. Slept well at night, did not notice any discomfort. 30 minutes before the operation, 0.2 mg of fentanyl and 10 mg of droperidol were endolymphatically injected. Introductory anesthesia was performed by intravenous administration of 500 mg of hexenal. O, 1 mg of fentanyl and 5 mg of droperidol. Curarization - 150 mg of ditilin for intubation of trachea ei and 30 mg of tubocurarine to support muscle relaxation. Artificial ventilation was performed by a hardware method in the mode of moderate hyperventilation. Maintenance of anesthesia with nitrous oxide with oxygen in the ratio of 2: 1. During anesthesia, hemodynamics is stable: a pulse of 78-86 beats / min 5 BP 100-120 / 50-80 mm Hg. Additionally, analgesics (fentanyl) and neuroleptics (droperidol) were not administered. Out of anesthesia without features. The duration of the operation is 2 hours and 45 minutes, the duration of anesthesia is 3 hours and 10 minutes. Postoperative analgesia started 8 hours after surgery and was carried out for 2 days, for which twice a day with an interval of 12 hours, 0.1 mg of fentanyl and 5 mg of droperidol were endolymphatically administered. The analgesic effect is good. HELL stable 120/80 mm Hg, pulse 64-70 beats. / Min. On the third day, the catheter from the sympathic vessel was removed due to the complete relief of the pain syndrome. The patient is discharged

313065854

Claims (1)

home with a complete regression of the neurology- period. At the same time, the absence of symptoms is noted to the satisfaction of adverse events and complications, the condition of the invention. The method of anesthesiology. In this way, the proposed method of bi during surgical intervention, anesthesia allows, using wahs, including the introduction of an analgesic, the minimum doses of drugs, increased neuroleptics, and the duration of the anesthetic, in order to increase the effect of During the duration of analgesia and premedication, during operative tO prevention of adverse events, pre-intervention and in postoperative surgery, endolymphatically is administered.