FIELD: medicine; cardiovascular surgery.
SUBSTANCE: puncture in a point located on a bisector, formed by a clavicle and a medial leg of a clavisternomastoid muscle, having receded one centimetre up and to the outside, is carried out by a hypodermic puncture needle of the subclavial vein preliminary bent under an angle of 15-20 degrees, having receded 2-3 cm from a needle edge at the first stage or during transcutaneous coronary intervention after treatment of area of a neck and a breast with an antiseptic. A needle is pulled under the clavisternomastoid joint in a direction of a medial line of a breast bone, on border of average and its top third, slipping on back edge of a breast bone under the roentgenoscopy control. After that infiltration of preaortal and cardiac nervous plexuses using a 0.25% Novocain solution in a dose of 1.0 ml on kg of body weight is performed through a needle.
EFFECT: reduction of pain syndrome frequency, disturbances of cardiac rhythm, cupping of a spastic stricture of coronary arteries.
2 cl, 1 ex
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Authors
Dates
2009-08-27—Published
2008-04-29—Filed