FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to anaesthesiology. In the position of the patient lying on his side, after local anesthesia, medial access is performed by puncture and catheterization of the subarachnoid space at the level of LIV-LV using the set for extended spinal anesthesia. In this case, the catheter is carried out in the cranial direction for 2–3 cm with the introduction of an isobaric solution of marcaine in the initial dose of 15–20 mg with bubbling of cerebrospinal fluid in a volume of up to 5–10 ml and a time of administration of 1–2 minutes, with further regulation of the development of the block and control of blockade by tilting the head end of the table to 45–60°. Repeated injection of an anesthetic into the spinal catheter at a dose of half of the initial with bubbling of the CSF in the volume of up to 5–10 ml is performed if there is a sign of restoration of pain sensitivity intraoperatively or in the postoperative period. In the early postoperative period, the patient is on strict bed rest with a raised head end of the bed at 30–45° within 48 hours.
EFFECT: method provides sufficient segmental blockade, muscle relaxation in the area of operation, stability of central hemodynamics during surgical intervention and in the postoperative period.
1 cl, 2 ex
