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[联合电麻醉:小儿神经外科手术中的一种非传统麻醉方法]

[Combined electroanesthesia: a nontraditional method of anesthesia in pediatric neurosurgery].

作者信息

Mal'kovskaia E V, Gudumak E M, Salalykin V I, Iova A S, Aksentiuk V I, Petraki V L, Shiriaeva N V

出版信息

Anesteziol Reanimatol. 1993 May-Jun(3):21-3.

PMID:7943896
Abstract

A combination of electrical anesthesia with calypsol and nitrous oxide has been developed and used in neurosurgical operations performed to 142 children aged 8 days to 15 years, who were divided into two groups. Group 1 included 89 children administered electrical anesthesia in combination with calypsol and nitrous oxide, Group 2 consisted of 53 children, to whom only routine calypsol and nitrous oxide anesthesia was administered. The Lennar apparatus was used to administer electrical anesthesia. The adequacy of anesthesia was estimated on the basis of the clinical data and laboratory findings. The results have shown that a combination of electrical analgesia with calypsol and nitrous oxide provided sufficient protection of a child from surgical stress, was not associated with significant changes of the hypothalamo-hypophyseo-adrenal and thyroid functions and permitted a significant reduction (by 80.8%) of the drug load.

摘要

已研发出一种将电麻醉与卡利普索和一氧化二氮相结合的方法,并应用于对142名年龄在8天至15岁的儿童进行的神经外科手术中。这些儿童被分为两组。第一组包括89名接受电麻醉与卡利普索和一氧化二氮联合治疗的儿童,第二组由53名儿童组成,他们仅接受常规的卡利普索和一氧化二氮麻醉。使用伦纳装置进行电麻醉。根据临床数据和实验室检查结果评估麻醉的充分性。结果表明,电镇痛与卡利普索和一氧化二氮的联合应用为儿童提供了足够的手术应激保护,与下丘脑 - 垂体 - 肾上腺和甲状腺功能的显著变化无关,并使药物负荷显著降低(降低了80.8%)。

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