FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to anaesthesiology, resuscitation and cardiology, and concerns a preventing anaesthetic management in the patients suffering complicated myocardial infarction by spinal-epidural analgesia. That is ensured by a primary reduction of the angious status by a single administration of narcotic analgesics into a subarachnoid space. To provide a further analgesic effect to manage a cardiac discomfort accompanied by objective criteria of hypertension of sympathetic vegetative nervous system (vegetation index (Kerdo index), heart rate, blood pressure, RPP variations), the narcotic analgesics are administered into the epidural space in a lumbar spine once or twice for three to seven days.
EFFECT: complex of anaesthetic manipulations provides the total anaesthesia at all the treatment stages in the patients with the complicated clinical course of myocardial infarction, prevented recurrences of the angious attacks and reduced risk of iatrogenic complications.
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Authors
Dates
2014-08-27—Published
2012-04-19—Filed