CRITERIA OF ASSESSMENT OF HIGH SPINAL ANESTHESIA EFFICIENCY IN UPPER ABDOMEN SURGERIES

In recent years, the frequency of application of regional anesthesia methods, and especially in economically developed countries, has progressively increased. This paper presents the experience of high spinal anesthesia during operations on the upper part of the abdominal cavity in 112 patients. We...

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Main Authors: A. B. Yakushevskiy, A. N. Plekhanov, A. V. Zharnikov
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2017-07-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/416
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author A. B. Yakushevskiy
A. N. Plekhanov
A. V. Zharnikov
author_facet A. B. Yakushevskiy
A. N. Plekhanov
A. V. Zharnikov
author_sort A. B. Yakushevskiy
collection DOAJ
description In recent years, the frequency of application of regional anesthesia methods, and especially in economically developed countries, has progressively increased. This paper presents the experience of high spinal anesthesia during operations on the upper part of the abdominal cavity in 112 patients. We have developed and proposed a method of simultaneous high spinal anesthesia, with the development of high neuromuscular block to the level of the first and second thoracic vertebrae. By its simplicity and technique, as well as by maintenance high spinal anesthesia is close to epidural analgesia, but unlike that it provides adequate, long-lasting and high level of pain relief of the abdominal organs. Compared to "traditional" methods of pain relief high spinal anesthesia reduces the risk of thromboembolic complications, decreases the amount of blood loss, reduces risk of developing complications from respiratory and cardiovascular systems, reduces the duration of postoperative paresis of the intestine. The use of high spinal anesthesia during operations on the upper part of the abdominal cavity is the method of choice. This type of anesthesia has advantages over other types of pain relief, and is better tolerated by patients. The proposed technique of regional anesthesia - high spinal anesthesia - has broad prospects for use in clinical practice.
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spelling doaj.art-060b6892227043ef85b158b31ef213d22024-03-28T07:49:18ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962017-07-0124747910.12737/article_59fad5188da375.49732053416CRITERIA OF ASSESSMENT OF HIGH SPINAL ANESTHESIA EFFICIENCY IN UPPER ABDOMEN SURGERIESA. B. Yakushevskiy0A. N. Plekhanov1A. V. Zharnikov2Buryat State University; Railway Clinical Hospital at the Station of Ulan-UdeBuryat State University; Irkutsk Scientific Center of Surgery and TraumatologyBuryat State University; Railway Clinical Hospital at the Station of Ulan-UdeIn recent years, the frequency of application of regional anesthesia methods, and especially in economically developed countries, has progressively increased. This paper presents the experience of high spinal anesthesia during operations on the upper part of the abdominal cavity in 112 patients. We have developed and proposed a method of simultaneous high spinal anesthesia, with the development of high neuromuscular block to the level of the first and second thoracic vertebrae. By its simplicity and technique, as well as by maintenance high spinal anesthesia is close to epidural analgesia, but unlike that it provides adequate, long-lasting and high level of pain relief of the abdominal organs. Compared to "traditional" methods of pain relief high spinal anesthesia reduces the risk of thromboembolic complications, decreases the amount of blood loss, reduces risk of developing complications from respiratory and cardiovascular systems, reduces the duration of postoperative paresis of the intestine. The use of high spinal anesthesia during operations on the upper part of the abdominal cavity is the method of choice. This type of anesthesia has advantages over other types of pain relief, and is better tolerated by patients. The proposed technique of regional anesthesia - high spinal anesthesia - has broad prospects for use in clinical practice.https://www.actabiomedica.ru/jour/article/view/416spinal anesthesiaabdominal cavitysurgeryresults
spellingShingle A. B. Yakushevskiy
A. N. Plekhanov
A. V. Zharnikov
CRITERIA OF ASSESSMENT OF HIGH SPINAL ANESTHESIA EFFICIENCY IN UPPER ABDOMEN SURGERIES
Acta Biomedica Scientifica
spinal anesthesia
abdominal cavity
surgery
results
title CRITERIA OF ASSESSMENT OF HIGH SPINAL ANESTHESIA EFFICIENCY IN UPPER ABDOMEN SURGERIES
title_full CRITERIA OF ASSESSMENT OF HIGH SPINAL ANESTHESIA EFFICIENCY IN UPPER ABDOMEN SURGERIES
title_fullStr CRITERIA OF ASSESSMENT OF HIGH SPINAL ANESTHESIA EFFICIENCY IN UPPER ABDOMEN SURGERIES
title_full_unstemmed CRITERIA OF ASSESSMENT OF HIGH SPINAL ANESTHESIA EFFICIENCY IN UPPER ABDOMEN SURGERIES
title_short CRITERIA OF ASSESSMENT OF HIGH SPINAL ANESTHESIA EFFICIENCY IN UPPER ABDOMEN SURGERIES
title_sort criteria of assessment of high spinal anesthesia efficiency in upper abdomen surgeries
topic spinal anesthesia
abdominal cavity
surgery
results
url https://www.actabiomedica.ru/jour/article/view/416
work_keys_str_mv AT abyakushevskiy criteriaofassessmentofhighspinalanesthesiaefficiencyinupperabdomensurgeries
AT anplekhanov criteriaofassessmentofhighspinalanesthesiaefficiencyinupperabdomensurgeries
AT avzharnikov criteriaofassessmentofhighspinalanesthesiaefficiencyinupperabdomensurgeries