SU1688844A1 - Method for assessment of anesthesia adequacy - Google Patents

Method for assessment of anesthesia adequacy Download PDF

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Publication number
SU1688844A1
SU1688844A1 SU894665251A SU4665251A SU1688844A1 SU 1688844 A1 SU1688844 A1 SU 1688844A1 SU 894665251 A SU894665251 A SU 894665251A SU 4665251 A SU4665251 A SU 4665251A SU 1688844 A1 SU1688844 A1 SU 1688844A1
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USSR - Soviet Union
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anesthesia
adequacy
ratio
assessment
khz
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SU894665251A
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Russian (ru)
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Ашот Папикович Хачатрян
Андрей Викторович Гилевич
Алексей Сергеевич Осенний
Вадим Геннадиевич Атрощенко
Роберт Гришаевич Хачатрян
Юрий Васильевич Торнуев
Владимир Александрович Федоров
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Институт физиологии СО АМН СССР
Клиническая Больница N2 Г.Новосибирска
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Abstract

Изобретение относитс  к медицине, а именно к анестезиологии. Способ позвол ет повысить точность оценки при динамическом наблюдении, что достигаетс  измерением сопротивлени  кожи электрическому току при частоте переменного зондирующего тока 10 кГц и 1 мГц, определением их отношени  и диагностикой адекватной анестезии при Значени х отношени  от 3,79 до 2,1, недостаточности обезболивани  - при 3,8 и выше, а передозировки наркотического препарата - при значени х 2,0 и ниже. 1 з. п. ф-лы.This invention relates to medicine, namely anesthesiology. The method makes it possible to increase the accuracy of estimation during dynamic observation, which is achieved by measuring skin resistance to electric current at an alternating probing frequency of 10 kHz and 1 MHz, determining their ratio and diagnosing adequate anesthesia at Ratios from 3.79 to 2.1, pain relief failure - at 3.8 and above, and drug overdose - at values of 2.0 and below. 1 h. apt.

Description

Изобретение относитс  к медицине, а именно к анестезиологии,The invention relates to medicine, namely to anesthesiology,

Целью изобретени   вл етс  повыше-, ние точности оценки при динамическом наблюдении .The aim of the invention is to improve the accuracy of the assessment under dynamic observation.

Способ осуществл  ют следующим образом .The method is carried out as follows.

Активный электрод площадью 0,5см укрепл ют с помощью липучей ленты на кончике указательного пальца в центре папилл рного рисунка, референтный электрод площадью 50 см - на ладони той же руки, обеспечива  контакте внутренней и наружной сторонами, измер ют электрическое сопротивление на низкой (10 кГц) и на высокой (1 мГц) частотах переменного тока и по их соотношению, равному 3,79-2,1, определ ют адекватность проводимой анестезии, при соотношении, равном 3,8 и более, недостаточность обезболивани , а при соотношении , равном 2,0 и ниже, - передозировку наркотического препарата.The active electrode with an area of 0.5 cm is reinforced with a sticky tape on the tip of the index finger in the center of the papillary pattern, the reference electrode with an area of 50 cm is placed on the palm of the same hand, providing contact between the inner and outer sides, measuring electrical resistance at low (10 kHz ) and at high (1 MHz) frequencies of alternating current and by their ratio equal to 3.79-2.1, the adequacy of the anesthesia performed is determined, with a ratio equal to 3.8 or more, the lack of anesthesia, and at a ratio equal to 2 , 0 and below - overdose narcotic drug.

Пример. Больной К., 18 лет, диагноз: гангрена пальца левой стопы, произведена операци : ампутаци  I пальца левой стопы.Example. Patient K., 18 years old, diagnosed with gangrene of the left toe, the operation was performed: amputation of the first toe of the left foot.

Вид анестезиологического пособи : масочный фторотановый наркоз. Исходный КДП 4,5. После премедикации КДП 4,14; АД 130/80 мм рт.ст., пульс 92 уд./мин. Вводный наркоз осуществл лс  ингал цией фторота- на в возрастающей концентрации от 0,8 до 3,6 об. % и закисно-кислороднойсмесью. При увеличении концентрации фторотана отмечено снижение КДП от 4,14 до 2,49. В последующем поддержание наркоза осуществл лось ингал цией закисно-кислородной смеси и фторотана в концентрации 1,5-2,0 об.%.Type of anesthesia: masked ftorotanovy anesthesia. Source KDP 4,5. After sedation of the PDC 4.14; HELL 130/80 mm Hg, pulse 92 beats./min. Introductory anesthesia was performed by injecting fluoroanta in increasing concentrations from 0.8 to 3.6 vol. % and oxygen mixture. With an increase in the concentration of ftorotan, a decrease in the CPD was observed from 4.14 to 2.49. Subsequently, the maintenance of anesthesia was carried out by inhalation of the oxygen-oxide mixture and fluorothane at a concentration of 1.5-2.0% by volume.

ON 00 00 00ON 00 00 00

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В ходе проведени  анестезиологического пособи  отмечалось снижение КДП до 2,0. По контрольным показател м отмечалась артериальна  гипотдни ,-; 90/50 мм рт.ст., снижение частоты пульса до 62 уд,/мин, расширение Зрачков до 3 мм, снижение вольтажа зубцов.пр ЭКГ, что свидетельствовало о передозировке ингал ционного анестетика - фторотана. После снижени  дозировки фто- ротана до 0,8 об.%, КДП повысилс  до 2,1. Стабилизировались контрольные показатели: АД 110/70 мм рт.ст., пульс 78 уд./мин, зрачки 1,5 мм. В дальнейшем КДП установилс  в пределах 2,13-2,4.During the anesthesia, there was a decrease in the QDF to 2.0. According to the control indices, the hypotension was noted, -; 90/50 mmHg, reduction of the pulse rate to 62 beats, / min, pupil dilation to 3 mm, decrease in the voltage of the teeth of the ECG, which indicated an overdose of inhalation anesthetic - fluorothane. After reducing the dosage of fluorotane to 0.8 vol.%, The CDP increased to 2.1. The following control indicators were stabilized: HELL 110/70 mm Hg, pulse 78 beats / min, pupils 1.5 mm. In the future, the KDP was set at 2.13-2.4.

Выход из наркоза более длительный по времени, соответственно происходило медленное повышение КДП к моменту выхода из наркоза до 4,13.The recovery from anesthesia was longer, respectively, and a slow increase in the QDP by the time the narcosis was released to 4.13.

5five

Claims (2)

1.Способ оценки адекватности анестезии путем регистрации и анализа биоэлектрических потенциалов «отличающий- с   тем, что, с целью повышени  точности оценки при динамическом наблюдении, измер ют электрическое сопротивление кожи на высокой и низкой частотах переменного тока, определ ют отношение полученных значений и при отношении от 3,79 до 2,1 оценивают анестезию адекватной, при 3,8 и выше - недостаточность обезболивани , а при 2,0 и ниже - передозировку наркотического препарата.1. A method of assessing the adequacy of anesthesia by recording and analyzing bioelectric potentials "characterized in that, in order to improve the accuracy of the assessment during dynamic observation, the electrical resistance of the skin is measured at high and low frequencies of alternating current, the ratio of the obtained values and the ratio of from 3.79 to 2.1, anesthesia is assessed as adequate; at 3.8 and above, anesthesia failure, and at 2.0 and below, an overdose of the narcotic drug. 2.Способ по п. 1,отличающийс  тем, что сопротивление кожи электрическому току определ ют на частоте 10 кГц и 1 мГц.2. A method according to claim 1, characterized in that the resistance of the skin to electric current is determined at a frequency of 10 kHz and 1 mHz.
SU894665251A 1989-03-28 1989-03-28 Method for assessment of anesthesia adequacy SU1688844A1 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003094726A1 (en) * 2002-05-08 2003-11-20 Hanne Storm Method and apparatus for monitoring the autonomous nervous system of a sedated patient

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Осипова Н. А. Оценка эффекта нарко тических , анальгетических и психотропных средств в клинической анестезиологии. М.: Медицина, 1988, с. 48-51. *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003094726A1 (en) * 2002-05-08 2003-11-20 Hanne Storm Method and apparatus for monitoring the autonomous nervous system of a sedated patient
US8439836B2 (en) 2002-05-08 2013-05-14 Med Storm Innovation As Method and apparatus for monitoring the autonomous nervous system of a sedated patient

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