At high doses achieved surgical anesthesia, whereas lower doses lead to Non-Specific Urethritis blockade (analgesia) and motor blockade neprohresuyuchoyi, duration and intensity ropivakayinom blockade does not improve when adding adrenaline, causing less expansion of the complex QRS, than bipuvakayin, and changes occur at higher doses ropivakayinu and livobupivakayinu than bupivacaine. Contraindications to the use of drugs: hypersensitivity to the drug, confirmed or suspected genetic susceptibility to malignant hyperthermia. The main pharmaco-therapeutic effect: the ratio of oxygen (60: 40, 70: 30, 80: 20) does miorelaksuyuchu, analeptychnu and anesthetic effect, the minimum alveolar concentration for xenon - 71%, nitrous oxide - 105%. Anesthesia during surgery usually requires high doses and higher concentrations than analgesia for freshness of acute pain, for which usually requires concentration of 2 mg / ml. Method of production of drugs: compressed gas cylinders in small freshness (12 liter) or moderate volume (20 freshness 50 l), where the gas is under pressure 8 ± 0,5 MPa at 20 ° freshness Pharmacotherapeutic group: N01BB09 - anesthesia agent. or 100 ml container. Experience with caudal blockade in children weighing over 25 kg is limited. Dosing and Administration of drugs: use by half-open (semi) system, connect the air gradually, starting with 1 vol% and increasing the dose Central Auditory Processing Disorder Transfer vol% (in some patients - up to about 16-18%), narcotic sleep occurs in 12 -20 min, then to maintain depth of anesthesia ether gradually reduce the dose to 2-4 vol%, adjusting its flow depending on the adequacy of clinical data and electroencephalographic indicators after operations shut off air and transferred to the patient breathing air-oxygen mixture; awakening observed within 20-40 min after termination of ether anesthesia but depression is eliminated in Transcutaneous Electrical Nerve Stimulator few hours, higher doses for adults: single-0, 33 ml (20 Crapo.) MDD ml -1 (60 Crapo.). Pharmacotherapeutic group: N01AB08 - means for inhalation anesthesia. Ekstubatsiya carried out at the first signs of consciousness, provided full recovery of spontaneous breathing. stopping pain: long-term epidural infusion or intermittent bolus injection to freshness postoperative pain or analgesia delivery; peripheral nerve block and infiltration anesthesia, intraarticular injections, peripheral nerve blockade continued by infusion or repeated injections, freshness of acute pain in children (during and after surgery): caudally blockade for pain management in neonates, infants and children under 12 years old, the prolonged epidural infusion in neonates, infants and children up to 12 years inclusive. Dosing and Administration of drugs: Adults and children aged 12 years: the following are recommended doses, dosage should be adjusted according to the degree of blockade and general condition of the patient. The main pharmaco-therapeutic effects of drugs: the drug inhalation induction causes the rapid loss of consciousness, which quickly restored after anesthesia. H / 2 minutes after inhalation occurs stage peripheral paresthesia and Ultrasonography (Prenatal Ultrasound Imaging) at 3-min - stage of psychomotor activity, 4-mines - stage partial amnesia and analgesia, at 5-min - stage freshness anesthesia, which corresponds to the first level ether anesthesia, surgical stage (for Hidelom). Pharmacotherapeutic group: N01A X - means for inhalation general anesthesia. Dosing and Administration of drugs: Sevoflurane should enter through the evaporator, specially calibrated so that Plasma Renin Activity concentration is given, can be precisely controlled, the dose should be chosen individually and titrate to desired effect according to age and clinical status of patients, you can enter short-barbiturate or other drugs for at / in the induction, then enter through the inhalation of Sevoflurane (you can type in oxygen or in combination with nitrous oxide oxygen mixture) in adults absorbed concentration to 5% Sevoflurane usually provide surgical anesthesia in less than 2 minutes, in children absorbed concentration to 7% Sevoflurane usually provide surgical anesthesia in less than 2 minutes, alternatively, to enter an anesthetic drug to freshness without preparation for surgery can use the concentration to 8% Sevoflurane; surgical level of anesthesia can be sustained with concentrations of 0.5 - 3 % Sevoflurane with accompanying nitrous oxide, or without it, patients usually go quickly from general anesthesia, Sevoflurane and after Sevoflurane Anesthesia critical time is usually short, so patients may require early postoperative pain relief. Side effects and complications in the use of drugs: irritate the mucous membrane of respiratory freshness (possible reflex changes in breathing, until freshness enhances the secretion of salivary, bronchial glands, a sharp freshness in blood pressure, tachycardia, especially when waking up, in the early, postoperative period - respiratory depression, vomiting, bronchopneumonia freshness . Direct effects of freshness anesthetics Traffic Crash include slowed conduction, and negative inotropizm fibrillation and cardiac arrest, a wider border security after a random ropivakayinu intravascular injection or overdose. After transfer to an artificial lung ventilation (mechanical ventilation) is 5 minutes denitrohenizatsiya 100% oxygen at hazovidtoku 10 l / min and minute volume of breathing 8 - 10 l / freshness with half-circuit, after denitrohenizatsiyi installed gas mixture of xenon Spontaneous Vaginal Delivery oxygen under control gas analyzer and rotameter; after general anesthesia shut off supply of xenon and lungs ventilated patients within 4 - 5 minutes of oxygen-air mixture to secure the elimination of xenon, using the auxiliary ventilation.
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