METHOD FOR ANESTHETIC SELECTION FOR ANESTHESIOLOGICAL SUPPORT OF NEUROVISUALIZATION IN CHILDREN WITH CNS PATHOLOGY Russian patent published in 2017 - IPC A61M19/00 A61K31/05 A61K33/14 A61P23/00 

FIELD: medicine.

SUBSTANCE: examination and assessment of the patient's condition are performed before conducting a multispiral CT scan. The degree of risk of anesthesia is preliminarily determined by the criteria: state of consciousness, reaction to examination, presence of convulsive syndrome, allergic anamnesis, age. Each criterion is scored. The obtained estimates are summed up and at a value of 0-3 points, the degree of anesthesia risk is assessed as low, at a value of 4-7 points - as average, at a value of 8-12 points - as high. For patients with a high and moderate degree of anesthetic risk, 1% thiopental sodium is selected in a dose of 3-5 mg/kg once iv, for patients with a low risk, 1% propofol is selected in a 1:10 dilution at a dose of 1-2 mg/kg, once iv, with absolute contraindications to the use of propofol, a combination of 5% ketamine in a 1:10 dilution at a dose of 0.5-1 mg/kg once iv and 0.5% diazepam at a dose of 0.1 mg/kg once iv is selected.

EFFECT: optimized approach to anesthetic selection, reduced number of complications, reduced time of awakening and staying in the hospital.

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