[New indices of electrolyte metabolism in patients with obstructive jaundice].
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Biomedical subjects
Publications and source records attributed to N A Dol'nikov.
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The paper is concerned with the use of peridural anesthesia (PA) in operations for struma in a considerable size and retrosternal localization of the latter, thyrotoxicosis, grave concomitant lesions. The authors have employed PA in 12 patients, in 2 of them in association with endotracheal narcosis, in 9 in combination with neuroleptoanalgesia (NLA), and in 1 postoperatively to liquidate successfully the laryngeal mucosa edema, developed following surgery for struma performed under endotracheal narcosis.
The kinetic study of a regional blood flow in the lower extremities (sphigmorphaphy, rheography) indicates its enhancement against the background of peridural blockade, employed by the authors in 480 of the total number of 1013 various operative interventinuous or prolonged peridural blockade, stabilized automatically or manually, is of a higher quality and may be recommended for a wide clinical application in these patients.
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Explore the source record for details and available documents.
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A technique of prolonged sympathetic ganglion blockage with an epidurally applied ganglioblocker pentamine has been suggested. With the help of manometry, using an open catheter and electromyography methods, the effect of the above technique on the recovery of the damaged small intestinal functions in the early postoperative period has been studied in comparison with prolonged epidural blockade with trimecaine in patients after gastric surgery. The effect of epidurally administered drugs on central hemodynamics has been studied. The technique suggested is effective for the recovery of the damaged small intestinal functions and has a number of advantages over conventional prolonged epidural blockade: less pronounced effect on central hemodynamics, the absence of blocking effect on afferent pulsation. All these makes it a technique of choice in patients with severe homeostasis disturbances and low central hemodynamic indexes.