Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 1998
Comparative Study[High epidural anesthesia in the correction of congenital heart defects with artificial circulation in children].
Effects of high thoracic epidural anesthesia (TEA) on hemodynamics were studied in patients undergoing cardiopulmonary bypass (CPB) surgery. In 7 patients aged 3-7 years, TEA was used as an adjunct to standard oxygen-air-isoflurane anesthesia. ⋯ Usually we take a loading dose of 4.5 mg/kg of lidocaine and 1 microgram/kg of fentanyl, which is followed after 40-50 min by 3.5 mg/kg lidocaine and 1 microgram/kg fentanyl. TEA ensures good pain relief and hemodynamic stability and can be accepted as a safe and effective anesthetic technique in combination with inhalation anesthesia in children subjected to CPB.
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Anesteziol Reanimatol · Jan 1998
[Regional anesthesias in children--the concept, advantages and general principles].
Validates the concept and discusses the advantages of central and peripheral regional anesthesias in children in combination with superficial narcosis during the stage of analgesia in surgical interventions of any severity. Emphasizes the efficacy of regional blocking, including prolonged ones, for postoperative analgesia. Presents the fundamentals of regional anesthesias in children.