Dol'nikov N A, Dorofeev N R, Ivanov M A, Baskov V N, Samusenko T M
Anesteziol Reanimatol. 1996 Jan-Feb(1):24-6.
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.
有人提出了一种使用硬膜外应用神经节阻滞剂喷他胺进行长时间交感神经节阻滞的技术。借助测压法、使用开放导管和肌电图方法，与胃手术后患者使用三甲卡因进行长时间硬膜外阻滞相比，研究了上述技术对术后早期受损小肠功能恢复的影响。还研究了硬膜外给药对中心血流动力学的影响。所提出的技术对受损小肠功能的恢复有效，并且与传统的长时间硬膜外阻滞相比具有许多优点：对中心血流动力学的影响较小，对传入搏动无阻滞作用。所有这些使其成为严重内环境稳态紊乱和中心血流动力学指标较低患者的首选技术。
