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Biomedical subjects

A T Matveev

Publications and source records attributed to A T Matveev.

14 recordsLinked to original sources

[Methods of regional analgesia in closed trauma of the chest].

The literature data has been analysed to evaluate the efficacy of the methods of regional analgesia (RA) in closed chest trauma. Various types of blocks are described. Epidural analgesia with local anaesthetics and narcotics is detailed. Epidural electrostimulation and introduction of drugs affecting the endogenous systems are shown to show good promises.

Anesthesia, Conduction↗

[Epidural analgesia in the treatment of the pain syndrome in degenerative dystrophic disorders of the lumbar spine].

Epidural analgesia (EA) with dicaine and morphine has been compared in 34 patients with pain syndrome caused by degenerative dystrophy of lumbar vertebrae. The advantages of EA with dicaine have been observed. 35.3% of patients have been subject to surgery. In the rest of patients pain syndrome was relieved. Radionuclide epidurography has shown that the volume of the anesthetic solution injected should not exceed 10 ml.

Adult↗

[A rare complication of regional anesthesia].

A prolonged blockade of the brachial plexus by a subclavicular approach was performed in a 22-year-old patient with combined trauma and severe pain in the left arm. The administration of 20 ml of a 0.3% dicaine solution through a catheter led to spinal anesthesia accompanied by the development of transient hemodynamic and respiration disturbances, which were arrested without medication or controlled lung ventilation. A possible reason for this complication is traumatic plexitis. When performing a blockade of the brachial plexus one should administer a test dose of an anesthetic prior to the entire drug dosage.

Adult↗

[Discogenic lumbosacral radiculitis].

A total of 74 patients with suspected discal hernia were studied. To clarify its diagnosis, epidural scintigraphy along with routine studies was used. The established diagnosis was verified during surgery. Carbonic acid laser was applied to 22 patients in addition to the conventional procedures.

Epidural Space↗