METHOD FOR OPTIMIZING PERIOPERATIVE PERIOD OF ELDERLY AND SENILE PATIENTS WITH CHRONIC ISCHEMIC HEART DISEASE IN SURGICAL TREATMENT OF LUNG CANCER

摘要

FIELD: medicine. ;SUBSTANCE: invention relates to medicine, namely to anesthesiology and resuscitation in oncology, and can be used to optimize the perioperative period of patients with chronic coronary heart disease of elderly and senile age in the surgical treatment of lung cancer. Before the start of surgery, puncture and catheterization of the epidural space are performed at the Th 3 - Th 4 level. Identification tests are carried out. A test dose of lidocaine 2%, 2.0 ml is administered. If the result is negative, the catheter is fixed, an aseptic dressing is applied and a micro-jet injection of a local anesthetic solution at a dose of 10 ml/hour is started into the epidural space. After induction and intubation of the trachea, intravenous administration of levosimendan through an infusomat is started at a rate of 0.1 mcg/kg/min. After the surgical intervention, during the first 48 hours, the micro-jet administration of levosimendan at the previous therapeutic dose and the epidural administration of the solution are continued for 6 days. ;EFFECT: method provides the possibility of radical surgical treatment of lung cancer in elderly and elderly patients with subcompensated comorbid pulmonary-cardiac pathology, without aggravating the course of concomitant pathology, creates a favorable background for the course and prognosis of the postoperative period. ;1 cl, 1 ex