Kuleshov Oleg Vladimirovich,Кулешов Олег Владимирович,Fedotov Yurij Nikolaevich,Федотов Юрий Николаевич,Kulikov Aleksej Yurevich,Куликов Алексей Юрьевич
申请号：
RU2016151528
公开号：
RU0002649455C1
申请日:
2016.12.26
申请国别(地区):
RU
年份:
2018
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to anesthesiology. Catheterization of the epidural teeth is made with a subsequent test dose of lidocaine, premedication, preoxygenation with pure oxygen, induction of general anesthesia, myoplegia, intubation, denitrogenisation with pure oxygen, inhalation anesthesia with xenon. In this case, premedication is performed with omeprazole at a dose of 20 mg and phenazepam at a dose of 1 or 2 mg per day before the surgery before bed. Induction of general anesthesia is carried out by diazepam administration in a dose of 5 mg, propofol in a dose of 1.0-1.5 mg⋅kg-1 up to the target values of the bispectral index 30-40, fentanyl 2-3 mg⋅kg-1 and succinylcholine at a dose of 1.5-2.0 mg⋅kg-1 and pipecuronium at a dose of 0.06 mg⋅kg-1 with preliminary precurarization with pipecuronium in a dose of 1 mg. After denitrogenation, the breathing circuit is filled with a mixture with a xenon content of 44-50 vol.%, which is used to maintain the anesthesia. In this case, a continuous intravenous microfluidic administration of fentanyl is carried out at a dosage of 2-3 mcg⋅kg-1⋅h-1 during a continuous infusion into the epidural teeth of 0.2% of ropivacaine at a rate of 4-10 ml⋅h-1. For patients under the age of 60 years in the premedication are additionally included phenazepam orally in a dose of 2 mg, patients from 60 to 70 years - orally, phenazepam in a dose of 1 mg. Before intubation, the oropharynx is irrigated with a spray with 10% lidocaine, 2-3 doses of the drug are used. To maintain muscle relaxation, bolus administration of 2 mg pipecuronium every 30 minutes of surgery is used.EFFECT: method allows to stabilize the hemodynamic parameters, eliminate the need for repeated denitrogenisation and the transition to total intravenous anesthesia during denitrogenisation, the patient to recover quickly after anesthesia.4 cl, 4 exИзобретение относится к медицине, а именно к анестезиологии. Выполняют катетеризацию эпидурального пространства с
