FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to anesthesiology, and can be used to reduce the anaesthetic risk during laparoscopic cholecystectomy. For this purpose prior to the surgery patient's resistance to oxidative stress is measured. Patient is tested on a stabilographic platform and is calculated P=95Fy60-70Fx60+4V+W, where Fy60 and Fx60 - 60% quantile of spectral density power of pressure oscillation frontal and sagittal planes (Hz), V is the average speed of the centre of pressure (mm/s), W - patient's weight (kg). Thiopental sodium is used during initial anaesthesia if p < 130, during perioperative therapy solution methylethyl pyridinol hydrochloride is used and solution containing sodium fumarate and sodium chlorides of potassium and magnesium. If 130≤P≤150 ketamine is used during initial anaesthesia, during perioperative therapy solution methylethyl pyridinol hydrochloride is used and solution containing sodium fumarate and sodium chlorides of potassium and magnesium. If P > 150 propofol is used during initial anaesthesia, while supporting anaesthesia - sevorane without perioperative antioxidant therapy.
EFFECT: method provides safety, efficiency and cost lowering of the preoperative testing, leading to the effective correction of antioxidant protection in laparoscopic cholecystectomy.
1 cl, 2 tbl
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Authors
Dates
2016-08-20—Published
2015-02-06—Filed