METHOD FOR CARRYING OUT GENERAL ANESTHESIA IN VITREORETINAL SURGERY Russian patent published in 2007 - IPC A61K31/05 A61K31/435 A61K31/02 A61K33/00 A61P25/20 A61P23/00 A61M21/00 A61M19/00 A61F9/07 

FIELD: medicine.

SUBSTANCE: method involves carrying out premedication with following induction into narcosis by introducing hypnotic drug Propophol at a dose of 1.2-1.5 mg/kg and micro-relaxant Tracrium at a dose of 0.5-0.6 mg/kg. Trachea intubation is carried out or laryngeal mask is set, and surgeon applies subtenon anesthesia in inferior internal quadrant by introducing 2 ml of 0.5 % Naporin and starts surgical intervention. Anesthesia is supported with nitrous oxide and oxygen mixture taken in 2:1 proportion and analgesic Sevoran at a dose of 0.5-1.2% by volume. Tracrium is additionally introduced at a dose of 0.03 mg/kg/h in micro-jets using syringe dosing unit. Anesthesiologist increases Sevoran dose to 3.5-4.5 % by volume on surgeon signal at operation stages having more expressed pain response, 30 s before beginning the work in the zone and on surgeon signal when increased pain sensitivity zone is passed over, Sevoran dose is restored to initial level. Antiemetic Zofran is introduced at a dose of 4 mg at the beginning or at the end of operation.

EFFECT: enhanced effectiveness of controlled anesthesia; smooth recovery from anesthesia; reduced risk of postoperative complications.

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