IVLEV EVGENIJ VIKTOROVICH,Ивлев Евгений Викторович,GRIGOREV EVGENIJ VALEREVICH,Григорьев Евгений Валерьевич,CHURLJAEV JURIJ ALEKSEEVICH,Чурляев Юрий Алексеевич,AKHTJAMOV DAMIR RINATOVICH,Ахтямов Дамир
申请号：
RU2013151434/14
公开号：
RU0002532015C1
申请日:
2013.11.19
申请国别(地区):
RU
年份:
2014
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to anaesthesiology and emergency medicine, and can be used in anaesthetic management of nasal and oropharyngeal operations in otorhinolaryngeal surgery in children. To this effect, the surgical intervention is preceded by inhalations of 2% lidocaine through a nebuliser at 4 mg/kg of body weight in the maximum dose of 200 mg. A peripheral vein is catheterised. A riskless challenging trancheal intubation requires inducing anaesthesia with Sevorane 8 vol %, N2O/O2 1/1 6 l/min. The intubation is preceded by 2 forced inhalations through an anaesthetic apparatus with a face mask. The pulmonary ventilation effectiveness is assessed by the respiratory excursion. The adequate pulmonary ventilation requires intravenous administration of the nondepolarising muscle relaxant Tracrium 0.4 mg/kg. Once reaching stage III2 narcosis, the trachea is intubated, and a gas flow in the contour is reduced to 1.0 l/min. Anaesthesia is maintained with Sevorane 1.5-2 vol %, 0.7 MAK, with N2O/O2 1/1 1 l/min, 0.5 MAK. The signs of the challenging trancheal intubation enable inducing anaesthesia with Sevorane 8 vol % at a high O2 gas flow at 6 l/min. The intubation is preceded by 2 forced inhalations through the anaesthetic apparatus with the face mask. The pulmonary ventilation effectiveness is assessed by the respiratory excursion. Once reaching stage III2 narcosis with adequate pulmonary ventilation and maintained unassisted respiration, the trachea is intubated, and the gas flow in the contour is reduced to 1.0 l/min. The nondepolarising muscle relaxant Tracrium 0.4 mg/kg is administered intravenously. Anaesthesia is maintained with Sevorane 2-3 vol %, 1 MAK with the artificial pulmonary ventilation with the gas mixture of O2/Air - 0.5/0.5 l/min. Once the operation is completed, inhalation with 100% O2 in a semi-open contour with a high gas flow at 5.0 l/min is performed.EFFECT: method provides the adequate anaesthesia in the gi
