METHOD anesthetic protection from the factor of surgical aggression

摘要

1.method u0430u043du0435u0441u0442u0435u0437u0438u043eu043bu043eu0433u0438u0447u0435u0441u043au043eu0439 protection factors of surgical aggression by u0432u043eu0437u0434u0435u0439u0441u0442u0432u0438u00a0 on homeostasis, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, use u043du0438u0437u043au043eu043fu043eu0442u043eu0447u043du0443u044e en u0435u0441u0442u0435u0437u0438u044e (1.2 - 1.4 l / min), on the basis of u0441u0435u0432u043eu0444u043bu0443u0440u0430u043du0430 with mac 1.2 0.6 in oxygen air mixture; deepening the anesthesia u043fu0440u043eu0432u043eu0434u00a0u0442 amid u043fu0440u0435u043cu0435u0434u0438u043au0430u0446u0438u0438 u0441u0443u043fu0440u0430u0441u0442u0438u043du043eu043c 0.25 mg / kg.for 15 min before the induction of intravenous anesthesia u0432u0432u043eu0434u00a0u0442 in solution u043fu043bu0430u0437u043cu043eu043bu0438u0442u0430 6 - 7.5 ml / kg, induction anesthesia u043fu0440u043eu0432u043eu0434u00a0u0442 atropine 0.013 mg / kg and u0444u0435u043du0442u0430u043du0438u043bu043eu043c 1.33 mg / kg; induction u043eu0441u0443u0449u0435u0441 u0442u0432u043bu00a0u044eu0442 by propofol in a dose of 2.5 to 3 mg / kg; further u0432u0432u043eu0434u00a0u0442 u0430u0442u0440u0430u043au0443u0440u0438u0443u043c in a dose of 0.6 mg / kg.after u043du0430u0441u0442u0443u043fu043bu0435u043du0438u00a0 adequate u043cu0438u043eu043fu043bu0435u0433u0438u0438 in 2 min u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 u043bu0430u0440u0438u043du0433u043eu0441u043au043eu043fu0438u044e and intubation of trachea; u043cu0438u043eu043fu043bu0435u0433u0438u044e support u0438u043du0444u0443u0437u0438u0435u0439 u0430u0442u0440u0430u043au0443u0440u0438u0443u043cu0430 0.36 mg / kg / h; in the end u043eu0442u0440u0430u0445u0435u0430u043bu044cu043du0443u044e tube u043fu0440u043eu0432u043eu0434u00a0u0442 artificial u0432u0435u043du0442u0438u043bu00a0u0446u0438u044e light mode IPPV (u043du0438u0437u043au043eu043fu043eu0442u043eu0447u043du0430u00a0 u0430u043du0435u0441u0442u0435u0437u0438u00a0 on u043fu043eu043bu0443u0437u0430u043au0440u044bu0442u043eu043cu0443 contour), respiratory volume (to) = 7 to 8 ml / kg and minute volume u0434u044bu0445u0430u043du0438u00a0 (mod) = 78 to 85 ml / kg.FiO2 = 40% under the control of SpO2 and EtCO2.;2. method for u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 1, however, that for 2 min before u0440u0430u0441u043fu0440u0430u0432u043bu0435u043du0438u00a0 u043au043eu043bu043bu0430u0431u0438u0440u043eu0432u0430u043du043du043eu0433u043e light u0443u0433u043bu0443u0431u043bu00a0u044eu0442 anesthesia of fentanyl at the dose of 1.25, 1.5 mg / kg.;3. method for u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 1, so that the patients with complicated spinal injury further u0432u0432u043eu0434u00a0u0442 u0438u043du0433u0438u0442u0440u0438u043b 30 iu.