METHOD FOR SELECTING ANESTHETIC DURING MICROSURGICAL INTERVENTIONS ON THE EYEBALL (TEST FOR COMPLIANCE BY KOMAROVA, BELYAEVA)

摘要

FIELD: medicine.SUBSTANCE: preoperative examination is carried out, including the implementation of a simultaneous impact on the patient's tactile and auditory stimuli. During exposure the patient should maintain a predetermined position of the body and the viewing direction. Exposure to tactile stimuli have expected for the patient, and the sound - unexpectedly. In that case, if the patient keeps a predetermined position of the body and the viewing direction, according to the operation shown under local anesthesia, with the reception on the day of the intervention tablet sedatives. If the patient keeps a predetermined position of the body and the viewing direction on the background of the expected tactile stimuli, but begins to move against the background of unexpected auditory stimuli, according to shown the operation under local anesthesia with the reception the day before and the day of surgery tablets tranquilizers. If the patient shows anxiety, violates a predetermined position of the body and the viewing direction at the stage of the expected tactile stimuli and enhances the excitement when unexpected auditory stimuli, according to shown the operation under local anesthesia with the maintenance of anesthesia, intravenous administration of fluid hypnotic, with intramuscular administration of tranquilizers before and the day of surgery. If the patient is not able to keep the target position of the body and the viewing direction before the start of the tactile and auditory stimuli, according to the operation shown in the background of total intravenous anesthesia or endotracheal anesthesia.EFFECT: method makes it possible to forecast patient response to surgical stress and to determine its ability to cooperate with the doctor during the operation, to select the optimal algorithm of anesthesia, reduce the risk of complications due to the impact on the patient's tactile and auditory stimuli that mimic the situation in the operating room.3 cl, 4 ex