CRITERIA OF ASSESSMENT OF HIGH SPINAL ANESTHESIA EFFICIENCY IN UPPER ABDOMEN SURGERIES
Rubrics: SURGERY & NEUROSURGERY
Authors:
1.
Railway Clinical Hospital at the Station of Ulan-Ude
(Intensivist)
Ulan-Ude, Ulan-Ude, Russian Federation
Ulan-Ude, Ulan-Ude, Russian Federation
2.
Buryat State University
(Department of Intermediate Level Surgery of the Medial Institute, Head)
Ulan-Ude, Ulan-Ude, Russian Federation
Ulan-Ude, Ulan-Ude, Russian Federation
3.
Buryat State University
(Department of Intermediate Level Surgery of the Medial Institute, Senior Lecturer)
Ulan-Ude, Ulan-Ude, Russian Federation
Ulan-Ude, Ulan-Ude, Russian Federation
Type:
Article
Pages:
from 74
to 79
Status:
Published
Received:
02.11.2017
Accepted:
02.11.2017
Published:
02.11.2017
Subject area:
UDK 61 Медицина. Охрана здоровья
Language:
Russian
Keywords:
spinal'naya anesteziya, bryushnaya polost', hirurgicheskaya operaciya, rezul'taty
Abstract (English):
V stat'e predstavlen opyt ispol'zovaniya vysokoy spinal'noy anestezii v hirurgicheskom lechenii zabolevaniy organov verhnego etazha bryushnoy polosti u 112 bol'nyh. Pri etom razrabotana i predlozhena original'naya metodika vypolneniya vysokoy spinal'noy anestezii, kotoraya aprobirovana u 55 pacientov. V gruppu sravneniya vklyuchali pacientov, kotorym vypolnena epidural'naya anesteziya i endotraheal'nyy narkoz. Kriteriyami vklyucheniya byli bol'nye, kotorym byli vypolneny planovye i ekstrennye hirurgicheskie vmeshatel'stva na verhnem etazhe bryushnoy polosti, a takzhe lichnoe soglasie bol'nogo na uchastie v issledovanii. Nami ocenivalis' pokazateli central'noy gemodinamiki na razlichnyh etapah operaciy. Vo vseh issleduemyh gruppah otmechalos' snizhenie pokazateley gemodinamiki, odnako naibolee vyrazhennym ono bylo u pacientov, operirovannyh pod endotraheal'nym narkozom, menee vyrazhennym – u pacientov, operirovannyh pod epidural'noy anesteziey, i esche menee vyrazhennym – v gruppe bol'nyh s vysokoy spinal'noy anesteziey. V stat'e pokazano, chto vysokaya spinal'naya anesteziya imeet znachitel'nye preimuschestva pered drugimi vidami anestezii, v chastnosti, pered endotraheal'nym narkozom. Po prostote i tehnike vypolneniya, a takzhe po material'nomu obespecheniyu vysokaya spinal'naya anesteziya blizka k epidural'noy anestezii, no, v otlichie ot nee, obespechivaet dostatochnyy, prodolzhitel'nyy i vysokiy uroven' obezbolivaniya organov bryushnoy polosti. Ona legche perenositsya bol'nym, ne vyzyvaet ser'eznyh oslozhneniy. V rabote v kachestve illyustracii privedeny klinicheskie primery, v kotoryh pokazana effektivnost' vysokoy spinal'noy anestezii u vozrastnyh bol'nyh s operacionno-anesteziologicheskim riskom.
V stat'e predstavlen opyt ispol'zovaniya vysokoy spinal'noy anestezii v hirurgicheskom lechenii zabolevaniy organov verhnego etazha bryushnoy polosti u 112 bol'nyh. Pri etom razrabotana i predlozhena original'naya metodika vypolneniya vysokoy spinal'noy anestezii, kotoraya aprobirovana u 55 pacientov. V gruppu sravneniya vklyuchali pacientov, kotorym vypolnena epidural'naya anesteziya i endotraheal'nyy narkoz. Kriteriyami vklyucheniya byli bol'nye, kotorym byli vypolneny planovye i ekstrennye hirurgicheskie vmeshatel'stva na verhnem etazhe bryushnoy polosti, a takzhe lichnoe soglasie bol'nogo na uchastie v issledovanii. Nami ocenivalis' pokazateli central'noy gemodinamiki na razlichnyh etapah operaciy. Vo vseh issleduemyh gruppah otmechalos' snizhenie pokazateley gemodinamiki, odnako naibolee vyrazhennym ono bylo u pacientov, operirovannyh pod endotraheal'nym narkozom, menee vyrazhennym – u pacientov, operirovannyh pod epidural'noy anesteziey, i esche menee vyrazhennym – v gruppe bol'nyh s vysokoy spinal'noy anesteziey. V stat'e pokazano, chto vysokaya spinal'naya anesteziya imeet znachitel'nye preimuschestva pered drugimi vidami anestezii, v chastnosti, pered endotraheal'nym narkozom. Po prostote i tehnike vypolneniya, a takzhe po material'nomu obespecheniyu vysokaya spinal'naya anesteziya blizka k epidural'noy anestezii, no, v otlichie ot nee, obespechivaet dostatochnyy, prodolzhitel'nyy i vysokiy uroven' obezbolivaniya organov bryushnoy polosti. Ona legche perenositsya bol'nym, ne vyzyvaet ser'eznyh oslozhneniy. V rabote v kachestve illyustracii privedeny klinicheskie primery, v kotoryh pokazana effektivnost' vysokoy spinal'noy anestezii u vozrastnyh bol'nyh s operacionno-anesteziologicheskim riskom.
Keywords:
spinal'naya anesteziya, bryushnaya polost', hirurgicheskaya operaciya, rezul'taty
spinal'naya anesteziya, bryushnaya polost', hirurgicheskaya operaciya, rezul'taty
1. Spislit spinal'naya anesteziya
