您的位置: 首页 > 农业专利 > 详情页

СПОСОБ АНЕСТЕЗИОЛОГИЧЕСКОГО ОБЕСПЕЧЕНИЯ ИНТРАОПЕРАЦИОННОГО МОНИТОРИНГА ФУНКЦИИ СПИННОГО МОЗГА
专利权人:
FEDERALNOE GOSUDARSTVENNOE UCHREZHDENIE "NOVOSIBIRSKIJ NAUCHNO-ISSLEDOVATELSKIJ INSTITUT TRAVMATOLOGII I ORTOPEDII" MINISTERSTVA ZDRAVOOKHRANENIJA I SOTSIALNOGO RAZVITIJA ROSSIJSKOJ FEDERATSII (FGU "N
发明人:
LEBEDEVA MAJJA NIKOLAEVNA,Лебедева Майя Николаевна (RU),NOVIKOVA MARINA VLADIMIROVNA,Новикова Марина Владимировна (RU),LUKJANOV DMITRIJ SERGEEVICH,Лукьянов Дмитрий Сергеевич (RU)
申请号:
RU2011103585/14
公开号:
RU0002457002C1
申请日:
2011.02.01
申请国别(地区):
RU
年份:
2012
代理人:
摘要:
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to anaesthesiology, and may be used as an anaesthesia care of surgical correction of severe spinal scoliosis with a high risk of developing neurological complications. For this purpose, 30 minutes prior to the operation, intramuscular pre-medication with Dormicum 0.1 mg/kg and Dimedrol 0.4 mg/kg is required. The anaesthesia is induced by Phentanyl 0.002 mg/kg, Propofol 2.5 mg/kg. The introduction of Nimbex 0.1 mg/kg is followed by the trachea intubation. After the trachea intubation and transition to artificial pulmonary ventilation, loading doses of Clopheline 0.004 mcg/kg and Ketamine 0.25 mg/kg are introduced. Sevorane in the concentration of 4 vol. % immediately follows the trachea intubation and transition to artificial pulmonary ventilation assisted by the air and oxygen flow rate of 4-5 l/min to reach the breath-out sevorane concentration min. 2.6 vol. % (1.04 minimum alveolar concentration). Then the air and oxygen flow rate is decreased to 1 l/min. Artificial pulmonary ventilation is enabled by an anaesthesia apparatus for sevorane delivery in forced pulmonary ventilation mode with the low fresh gas flow rate 1 l/min with minute tidal volume to ensure the breath-out concentration of carbon dioxide within 32-37 mm Hg, the concentration of oxygen in the mixture 40%. The mandatory safety monitoring involves blood pressure, heart rate, electrocardiogram, arterial blood oxygen saturation, mixture oxygen concentration, breath-out carbon dioxide concentration, air and oxygen sevorane concentration, breath-out sevorane concentration, breath-in air and oxygen carbon dioxide and bispectral electroencephalogram and electromyography index recordings. The anaesthesia is maintained by sevorane inhalations 3-1.5 vol. %. (1.2-0.6 minimum alveolar concentration), bolus introductions of Fentanyl 0.004±0.001 mg/kg/h, continuous infusion of Clopheline 0.004 mcg/kg/h, Ketamine 0.25 mg/kg/h and supporting Nimbex 0.0
来源网站:
中国工程科技知识中心
来源网址:
http://www.ckcest.cn/home/

意 见 箱

匿名:登录

个人用户登录

找回密码

第三方账号登录

忘记密码

个人用户注册

必须为有效邮箱
6~16位数字与字母组合
6~16位数字与字母组合
请输入正确的手机号码

信息补充