METHOD FOR APPLYING COMBINED SPINAL AND EPIDURAL ANESTHESIA

摘要

FIELD: medicine.;SUBSTANCE: method involves introducing single dose of local anesthetic and Phentanyl solution at the L2-L3 level for carrying out spinal anesthesia in the amount sufficient for achieving skin analgesia according to pin prick test at the C8-Th1 level in upper abdominal operations and C3-C4 in intrathoracic operations. When reducing systolic arterial blood pressure to 100-80 mm of mercury column and heart beat rate of 60-50 strokes per 1 min, Mezaton and Dobutamine solutions are intravenously infused for regulating hemodynamic parameters at the level close to physiologic values during the whole operation time. Given anesthesia level is supported with epidural introduction of local anesthetics and Phentanyl.;EFFECT: enhanced effectiveness of hemodynamic regulation during surgical intervention.;3 dwg, 2 tbl