Ismaĭlov I S, Mamedov I I, Rashidova M A
Khirurgiia (Mosk). 2010(10):49-52.
A comparative analysis of efficacy and safety of the neuroleptanalgesia (NLA) and balanced general anesthesia during operations on the biliary tract and liver. Analysis of the results of comprehensive studies of hemodynamic, humoral homeostasis, liver function and clinical anesthesia showed that the optimized on the basis of ketamine modified NLA provides effective neurovegetative protection during operations on the organs of the hepatobiliary system, accompanied by obscure variations in the studied parameters. Traditional methods of the modified NLA is characterized by insufficient anesthesia, accompanied by pronounced physical inactivity circulation and a large number of "critical incidents".
神经安定镇痛术（NLA）与平衡全身麻醉用于胆道和肝脏手术时的疗效及安全性比较分析。对血流动力学、体液稳态、肝功能及临床麻醉的综合研究结果分析表明，基于氯胺酮改良的优化NLA在肝胆系统器官手术期间可提供有效的自主神经保护，且所研究参数仅有轻微变化。改良NLA的传统方法存在麻醉不足的问题，伴有明显的身体无活动循环及大量“危急事件”。
