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RU2000114573A - METHOD FOR ANESTHETIC SUPPORT OF VERTEBROLOGICAL OPERATIONS IN CHILDREN AND ADOLESCENTS - Google Patents

METHOD FOR ANESTHETIC SUPPORT OF VERTEBROLOGICAL OPERATIONS IN CHILDREN AND ADOLESCENTS

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Publication number
RU2000114573A
RU2000114573A RU2000114573/14A RU2000114573A RU2000114573A RU 2000114573 A RU2000114573 A RU 2000114573A RU 2000114573/14 A RU2000114573/14 A RU 2000114573/14A RU 2000114573 A RU2000114573 A RU 2000114573A RU 2000114573 A RU2000114573 A RU 2000114573A
Authority
RU
Russia
Prior art keywords
dose
intravenously
administered
intramuscularly
vertebrological
Prior art date
Application number
RU2000114573/14A
Other languages
Russian (ru)
Other versions
RU2195278C2 (en
Inventor
Майя Николаевна Лебедева
Владимир Петрович Шевченко
Original Assignee
Новосибирский научно-исследовательский институт травматологии и ортопедии
Filing date
Publication date
Application filed by Новосибирский научно-исследовательский институт травматологии и ортопедии filed Critical Новосибирский научно-исследовательский институт травматологии и ортопедии
Priority to RU2000114573A priority Critical patent/RU2195278C2/en
Priority claimed from RU2000114573A external-priority patent/RU2195278C2/en
Publication of RU2000114573A publication Critical patent/RU2000114573A/en
Application granted granted Critical
Publication of RU2195278C2 publication Critical patent/RU2195278C2/en

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Claims (1)

Способ анестезиологического обеспечения вертебрологических операций у детей и подростков путем создания антистрессовой и антиноцицептивной защиты организма больного, отличающийся тем, что проводят предоперационную подготовку по схеме: за 72 и 48 ч до операции вводят пирогенал в дозе 0,5 мкг/кг внутримышечно, за 24 ч до операции вводят пирогенал в дозе 1 мкг/кг внутримышечно в сочетании с витамином Е в дозе 10 мг/кг, проводят премедикацию, включающую только реланиум в дозе 0,2 мг/кг и димедрол в дозе 0,4 мг/кг внутримышечно, вводный наркоз включает фентанил в дозе 0,002 мг/кг, тиопентал натрия (2,5-1% р-р) в дозе 10 мг/кг, листенон в дозе 2,5 мг/кг с последующей интубацией трахеи, после интубации трахеи вводят клофелин 0,01%-ный раствор в дозе 0,4 мкг/кг внутривенно болюсно, основной наркоз включает центральный аналгетик, например фентанил в дозе 0,002 мг/кг/ч внутривенно болюсно, гипноанестетик калипсол в дозе 2,5 мг/кг/ч внутривенно непрерывно через дозатор, клофелин 0,4 мкг/кг/ч внутривенно непрерывно через дозатор при тотальной миоплегии ардуаном в дозе 0,03 мг/кг/ч внутривенно болюсно с искусственной вентиляцией легких аппаратом EVITA-2-DURA, работающим по потоку в режиме с плато на вдохе с FiO2 40%.The method of anesthetic management of vertebrological operations in children and adolescents by creating anti-stress and antinociceptive protection of the patient’s body, characterized in that they carry out preoperative preparation according to the scheme: 72 and 48 hours before surgery, pyrogenal is administered at a dose of 0.5 μg / kg intramuscularly, 24 hours before surgery, pyrogenal is administered at a dose of 1 μg / kg intramuscularly in combination with vitamin E at a dose of 10 mg / kg, premedication is carried out, including only relanium at a dose of 0.2 mg / kg and diphenhydramine at a dose of 0.4 mg / kg intramuscularly anesthesia includes entanil at a dose of 0.002 mg / kg, thiopental sodium (2.5-1% r-p) at a dose of 10 mg / kg, listenone at a dose of 2.5 mg / kg, followed by tracheal intubation, after cloning, trachea is administered 0.01 % solution at a dose of 0.4 mcg / kg intravenously bolus, the main anesthesia includes a central analgesic, for example, fentanyl at a dose of 0.002 mg / kg / h intravenously, a hypnesthetic calypsol at a dose of 2.5 mg / kg / h is administered intravenously continuously through a dispenser , clonidine 0.4 μg / kg / h intravenously continuously through a dispenser for total myoplegia with arduan at a dose of 0.03 mg / kg / h intravenously bolus with artificial using lungs with the EVITA-2-DURA apparatus, working in the flow mode with a plateau on inspiration with FiO2 40%.
RU2000114573A 2000-06-07 2000-06-07 Method for anesthisilogical supply of vertebrological operations in children and youth RU2195278C2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
RU2000114573A RU2195278C2 (en) 2000-06-07 2000-06-07 Method for anesthisilogical supply of vertebrological operations in children and youth

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
RU2000114573A RU2195278C2 (en) 2000-06-07 2000-06-07 Method for anesthisilogical supply of vertebrological operations in children and youth

Publications (2)

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RU2000114573A true RU2000114573A (en) 2002-06-20
RU2195278C2 RU2195278C2 (en) 2002-12-27

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Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2228205C2 (en) * 2002-05-24 2004-05-10 Новосибирский научно-исследовательский институт травматологии и ортопедии Anesthetic maintenance method for monitoring spinal cord functions in performing surgical operation
RU2254124C1 (en) * 2003-10-01 2005-06-20 Российский государственный медицинский университет Agent for removing post-narcosis depression
RU2305542C1 (en) * 2006-02-28 2007-09-10 Федеральное государственное учреждение "Нижегородский научно-исследовательский институт травматологии и ортопедии Федерального агентства по здравоохранению и социальному развитию" Anesthetic aid method in surgically treating scoliosis cases
RU2370289C1 (en) * 2008-02-19 2009-10-20 Федеральное государственное учреждение "Нижегородский научно-исследовательский институт травматологии и ортопедии Федерального агентства по высокотехнологичной медицинской помощи" Method of multicomponent epidural anesthesia during single-take three-stage surgical correction of scoliosis
RU2387452C1 (en) * 2008-09-01 2010-04-27 Федеральное государственное учреждение Новосибирский научно-исследовательский институт травматологии и ортопедии Федерального агентства по высокотехнологичной медицинской помощи (ФГУ ННИИТО Росмедтехнологий) Method of infusion medication of spinal surgery in children
RU2392976C1 (en) * 2009-03-16 2010-06-27 Федеральное государственное учреждение "Нижегородский научно-исследовательский институт травматологии и ортопедии Федерального агентства по высокотехнологичной медицинской помощи" Method of anaesthetic management of orthopaedic surgeries in children
RU2457002C1 (en) * 2011-02-01 2012-07-27 Федеральное государственное учреждение "Новосибирский научно-исследовательский институт травматологии и ортопедии" Министерства здравоохранения и социального развития Российской Федерации (ФГУ "ННИИТО" Минздравсоцразвития России) Method of anaesthetic management of intraoperative monitoring of spinal function

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2023430C1 (en) * 1991-06-13 1994-11-30 Воловик Валерий Евгеньевич Method of treating kyphoscoliotic deformation of vertebral column

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