[A complication in the performance of prolonged peridural anesthesia].
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Biomedical subjects
Publications and source records attributed to V A Tsvetkov.
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Patients who have been long exposed to ultrasound and high-frequency currents at work are likely to develop diseases of the peripheral nervous system and thus the risk of nerve damage during conduction anesthesia. Profound examination of the peripheral nervous system before surgery is necessary in such patients. In patients with this pathology general anesthesia will be the technique of choice during surgery on the lower extremities.
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Pulmonary surgery performed under epidural anesthesia (EA) combined with transcranial electrical anesthesia (TEA) was characterized by minimum adverse hemodynamic reactions, typical of EA alone, and reduced overall dose of the local anesthetic with minimum volume of the infusion therapy and adequate anesthetic protection. The absence of marked hemodynamic reactions in this type of combined anesthesia made it possible to use it during pulmonary surgery in the most severely ill patients whose cardiovascular system is already compromised by the primary pulmonary disease.
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Local anesthesia of the brachial plexus by interscalenic approach was a cause of total spinal blockade due to the administration of a local anesthetic into subarachnoid space. To prevent this it is necessary to administer a test dose of a local anesthetic with pre-aspiration of the liquor with a syringe. Intensive care procedures should be aimed at maintenance of adequate hemodynamics and gas exchange and to liquidation of circulating blood volume deficiency.
To facilitate nasotracheal intubation a conductor made from esophageal tube is recommended. The advantage of this conductor is that the tube could be directed into the trachea without intubation forceps. No special material is required and it is available for any anesthesiologist.
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