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METHOD FOR POSTOPERATIVE ANAESTHESIA IN PATIENTS OPERATED UNDER SPINAL ANAESTHESIA

机译:脊髓麻醉下手术患者的术后麻醉方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to anaesthesiology and resuscitation, and may be used if postoperative anaesthesia of the patients operated under spinal anaesthesia is required. For this purpose, on the first postoperative day, patient-controlled morphine analgesia (CPA) is performed. In the patients having taken less than morphine 30 mg by means of CPA, on the second and third day require ketoprofene 50 mg intravenously twice a day in a combination with paracetamol 1 g intravenously every 6 hours. The patients having taken more than 30 but less than 40 mg of morphine by means of CPA, on the second and third day require introducing ketoprofen 50 mg intravenously twice a day added with paracetamol 1 g intravenously every 6 hours and tramadol 100 mg intramuscularly every 6 hours. The patients having taken more than 40 mg morphine by means of CPA, on the second and third day require ketoprofen 50 mg intramuscularly twice a day added with paracetamol 1 g intravenously every 6 hours and promedol 20 mg intramuscularly every 6 hours.;EFFECT: method provides differentiating the anaesthesia in the patients ensured by individual demand of the patient in analgesics.;2 tbl, 2 ex
机译:技术领域本发明涉及医学,即麻醉学和复苏术,并且如果需要在脊髓麻醉下进行手术的患者的术后麻醉时可以使用。为此,在术后第一天进行患者控制的吗啡镇痛(CPA)。在通过CPA服用少于吗啡30 mg的患者中,在第二天和第三天需要每天两次静脉内注射50mg酮洛芬,并每6小时静脉注射1对乙酰氨基酚。在第二天和第三天通过CPA服用了超过30毫克但少于40毫克吗啡的患者,需要每天两次静脉注射50克酮洛芬,并每6小时静脉注射对乙酰氨基酚1克,每6个小时肌内注射曲马多100毫克小时。在第二天和第三天通过CPA服用了40毫克吗啡以上的患者,每天两次肌内注射50克酮洛芬,每6小时静脉内加入对乙酰氨基酚1 g,每6个小时肌内注射普鲁地尔20 mg。根据患者对镇痛药的个人需求,提供区分患者的麻醉效果。2tbl,2 ex

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