FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to anesthesiology. Invention relates to a combination of prolonged high spinal and endotracheal anesthesia in operations on the upper abdominal floor, comprising performing HSA (high spinal anesthesia) in a lying position on the side, after local anesthesia, medial puncture access and spinal space catheterization at the level of L4-L5 using a set for prolonged spinal anesthesia, in which the catheter is delivered in the cranial direction by 3 cm with the introduction of an isobaric solution of marcaine in an initial dose of 20 mg with further prolongation of the preparation administration and regulation of blockade control by inclination of the head end of table to 45–60° with further induction into anesthesia by intravenous administration of propofol 2–3 mg/kg followed by tracheal intubation following administration of fentanyl 2 mcg/kg and tracrium muscle relaxant 0.5 mg/kg, followed by endotracheal anesthesia with sevoflurane inhalation 1–1.5 %, allowing to prolong analgesic effect in postoperative period by repeated introduction of anesthetic in half dosage into spinal catheter.
EFFECT: complete segmental block and muscle relaxation in the operation area, stability of central hemodynamics values during surgical intervention and in the postoperative period.
1 cl, 1 ex
