METHOD OF CONTROLLING MULTI-COMPONENT ANESTHESIA IN GENERAL SURGICAL INTERVENTIONS

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to anesthesiology and reanimatology, and can be used in carrying out multi-component anesthesia in surgical interventions. For this purpose parameters, obtained from near-bed monitor, as well as myorelaxation parameters and ringing acoustic signals enter unit of data collection and protocol coordination. After that, data are supplied to unit of parameter calculation and unit of patient's current state analysis with further building of multi-system integral nomogram. For each preparation unit of calculation of patient's current requirement of anesthetic aid performs preliminary calculation of induction dose and rate of diffusion with application of three-component model. Calculation of patient's current requirement of preparations and correction of preliminarily calculated doses of preparations are realised in unit of calculation of patient's current requirement of anesthetic aid. After that data are supplied into units of preparation rate calculation, with each group of preparations being connected with database, which contains list of preparations with their pharmacological and pharmacodynamic profiles. Rate of hypnotic drug introduction is calculated in accordance with current value of ringing acoustic potentials, rate of introduction of anesthetic preparations is calculated in accordance with current values of hemodynamic parameters, rate of introduction of relaxants is calculated in accordance with myorelaxation level. Data of calculation of load dose and infusion rate are dynamically updated as new data are supplied. In addition, obtained data are compared with database, which stores profiles of critical situation development in unit of critical situation analysis.;EFFECT: method ensures carrying out adequate anesthesia due to description of primary distribution, re-distribution and period of elimination of applied components of general anesthesia in real time.;1 dwg