METHOD OF INDIVIDUAL PREMEDICATION SELECTION IN THE STRUCTURE OF ANAESTHETIC SUPPORT Russian patent published in 2018 - IPC A61B5/16 A61B5/00 A61B5/02 A61B5/205 

FIELD: medicine.

SUBSTANCE: invention relates to anesthesiology and can be used to select individual premedication when performing neurosurgical operations. Conducting a differentiated assessment of the neurosurgical patients psycho-emotional status. Assessment includes conducting a self-reported situational anxiety (ST-C) and personal anxiety (ST-L) questionnaire test against fifteen statements and identifying five auxiliary scales: "emotional discomfort" (ED), "asthenic anxiety component" (AFC), "phobic component "(FC), "disturbing perspective assessment" (DPA) and "social protection" (SP), calculation of raw scores in each auxiliary scale, conversion of raw scores into the stanines, and analysis of the equivalent comparison of the limits of the levels of stanine in scales (ED), (AFC), (FC), (DPA), (SP), (ST-S) and (ST-L). In the analysis of the equivalent comparison of the limits of the stanine levels in the scales (ED), (AFC), (FC), (DPA), (SP), (ST-S) and (ST-L), three groups are distinguished: 1 group with a normal level of personal and situational anxiety, 2 group with an medium level of anxiety, 3 group with a high level of personal and situational anxiety. Individual analysis of the central hemodynamics and functional state of the autonomic nervous system indices is carried out and the preserved balance of the sympathetic and parasympathetic links of the autonomic nervous system is determined (1 group with a normal level), predominance of the autonomic nervous system parasympathetic link (group 2 with an medium level), autonomic nervous system sympathetic link marked activation (group 3 with a high level). Choice of individual premedication for each patient is performed according to the appropriate group with a set of individual differentiated assessment of the patient according to the limits of the levels of stanine, levels of anxiety: normal, medium, high, each of which corresponds to a certain level of stanine, and levels of central hemodynamics and functional state of the autonomic nervous system indices.

EFFECT: method makes it possible to increase the individual premedication effectiveness, to reduce the operational and anesthetic risk degree, and to shorten the postoperative rehabilitation period by conducting a differentiated assessment of the psycho-emotional status and analysis of the central hemodynamics and the functional state of the autonomic nervous system indices.

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