RESUMO
The authors share their first experience of combined regional anesthesia during surgical interventions into the lower extremities in children with infantile cerebral paralysis (ICP). A hundred and twenty-five blocks were performed in patients aged 5 to 20 years. Lidocaine, marcaine, naropine, or a mixture of lidocaine and marcaine mixture, were used. The paper describes the specific features of techniques for femoral-sciatic nerve blocks in these patients, shows the adequacy of anesthesia at surgery and the very good course of the postoperative period due to continuous analgesia and the alleviation of muscle spasticity in the operated limb.
Assuntos
Bloqueio Nervoso Autônomo/métodos , Paralisia Cerebral/cirurgia , Extremidade Inferior/inervação , Adolescente , Anestésicos Locais , Criança , Pré-Escolar , HumanosRESUMO
The central hemodynamics was studied and analyzed in 51 patients reoperated on for congenital spinal cord hernia under balanced anesthesia based on midasolam and proforol. The procedure for anesthesiological provision of replastic repair of operated spinal hernia, which is based on propofol of bolus administration of midasolam with a hypnotic appliance, was found to cause no negative hemodynamic effects. When the benzodiazepine antagonist flumazenyl is used, the interval between the end of surgery and tracheal extubation is virtually identical in the propofol and midasolam groups since the intravenous injection of flumazenyl induces a drastic awakening effect.
Assuntos
Anestesia Intravenosa/métodos , Hemodinâmica/fisiologia , Hérnia , Procedimentos Neurocirúrgicos , Reoperação , Doenças da Medula Espinal , Período de Recuperação da Anestesia , Anestésicos Intravenosos , Criança , Pré-Escolar , Fentanila , Flumazenil , Hérnia/congênito , Hérnia/fisiopatologia , Herniorrafia , Humanos , Midazolam , Monitorização Intraoperatória , Propofol , Doenças da Medula Espinal/congênito , Doenças da Medula Espinal/fisiopatologia , Doenças da Medula Espinal/cirurgiaRESUMO
The position of the catheter end in the central vein was studied by the x-ray, ultrasonic, and electrometric methods during catheterization of 69 veins in 66 patients. The position was incorrect in 64% cases. Electrometric method for detecting the position of the end of venous catheter is the most available for intensive care wards of municipal hospitals, because no special equipment or staff is needed, the method is simple, can be used directly during catheterization, and is cheap.
