METHOD OF ANAESTHETIC MANAGEMENT OF ORTHOPAEDIC SURGERIES IN CHILDREN

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely, to anaesthesiology and can be used as anaesthesia care of orthopaedic surgeries in children. That is ensured by an initial inhalation narcosis of Sevoflurane. It is followed with epidural cavity catheterisation and spinal anaesthesia by introduction of Marcain 0.5% isobaric. In 80 minutes after the beginning of spinal anaesthesia, bolus dosing of 0.2% Naropin 0.6 mg/kg in the epidural space follows. Continuous infusion of Naropin in the epidural space is maintained at 0.2-0.3 mg/kg/h during the surgical procedure.;EFFECT: method allows improving effectiveness of walking epidural in children, and preventing hemodynamic complications due to minimum pharmacological intervention of the patient's body ensured by low concentration of introduced Naropin.;1 ex