METHOD OF ANESTESIOLOGICAL SECURITY OF OPERATION IN SEVERE CRANIOCEREBRAL TRAUMA

摘要

FIELD: medicine, neuroanesthesiology, neurotraumatology. SUBSTANCE: invention proposes to carry out premedication with atropine in the dose 0.3-0.7 mg and dimedrol in the dose 10 mg by intravenous route. Initial narcosis is begun by intravenous administration of full dose of myorelaxant of depolarizing type action (arduan in the dose 0.05 mg/kg of body mass) followed by mask ventilation with a mixture of nitrous oxide and oxygen and intravenous administration of fentanyl in the dose 3.75 mcg/kg and clopheline in the dose 1.25 mcg/kg. At the phase of narcosis maintenance sodium thiopental is administrated by intravenous fractional route in the dose 3.5-3.75 mg/kg/h and in the process of operation 300 mg of vitamin E is administrated intramuscularly and 30 000 U of contrycal is administrated intravenously. Method provides to limit the primary damage and to prevent the second damage of brain. EFFECT: enhanced effectiveness of method, decreased lethality. 2 ex