Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Nov 1991
[General anesthesia in patients with abdominal trauma in a district hospital].
The paper reviews three techniques of anesthesia used in 113 patients with abdominal trauma and thoracoabdominal wounds. In 42 patients N2O-ether (halothane)-O2 anesthesia was used. In 40 patients thalamonal-hydroxybutyric analgesia was used. ⋯ In six patients trauma was incompatible with life. From the point of view of their effect on the cardiovascular system two techniques of anesthesia seem to be most advisable: thalamonal-hydroxybutyric general anesthesia and general anesthesia with ketamine. Postoperative lethality was 6 patients (5.6%).
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Anesteziol Reanimatol · Sep 1991
[The inguinal paravascular technique of lumbar plexus block--anatomical pretests were unsuccessful].
Using 28 anatomic preparations, the boundaries of dye expansion in tissues adjacent to nervous stems have been experimentally studied during the application of lumbar plexus local anesthesia technique via inguinal paravascular approach according to A. Winnie. ⋯ Compact structure of perineural spaces in musculus psoas major prevents lumbar plexus infiltration. The junction of lumbar and obturator fascia, forming the fascial node between large and small pelvis, excludes any possible contacts between the dye solution and the obturator nerve.
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Anesteziol Reanimatol · Jul 1991
[The perineural administration of opiates during regional conduction block of nerve trunks and plexuses].
The effect of perineural administration of narcotic analgesics on the efficacy of nerve trunk and plexus blockade has been studied in 290 patients with traumas and surgical diseases. It has been established that combined administration of a local anesthetic and narcotic analgesic into a brachial fascia and sciatic nerve ensures a more even, adequate and durable analgesia during and after surgery on the upper and lower extremities. Similarly, the results of paravertebral analgesia after abdominal surgery are improved. It is also concluded that thermographic registration of infrared irradiation intensity in a "pain" dermatome zone gives an objective information on the efficacy and duration of postoperative analgesia.