FIELD: medicine; anesthesiology.
SUBSTANCE: invention can be used for prolonged high spinal (ICA) and endotracheal anesthesia. The ICA is performed when the patient is side-lying by puncture and catheterization of the spinal space at the L4-L5 level using a set for prolonged spinal anesthesia. The catheter is pulled in the cranial direction by 3 cm with the introduction of an isobaric solution of bupivacaine into it at an initial dose of 20 mg with further prolongation of the medicinal product administration and regulation of blockade control by tilting the head end of the table to 45–60°. Anesthesia is induced by a single intravenous injection of ketamine and subsequent tracheal intubation after the administration of fentanyl and trakrium muscle relaxant with further endotracheal anesthesia with nitrous oxide inhalation.
EFFECT: method ensures earlier awakening and extubation of the patient on the operating table, reduces the risk of complications associated with unstable central hemodynamics during surgery, and allows to achieve high-quality postoperative pain relief by introducing a local anesthetic into the catheter, with a decrease in doses of narcotic analgesics in the intraoperative period due to a set of techniques of the claimed invention.
1 cl, 2 ex
