RESUMO
The anesthetic management course was analyzed in 224 patients who underwent nonvascular surgeries on the conductive heart system. Analgesic and anti-stress techniques, which do not affect the intracardial conductivity and ensure the successful outcome of surgery with spontaneous or auxiliary ALV, were designed on the basis of research. The above schemes were introduced in practice with their efficiency being confirmed. They are based on a balanced use of the new-generation non-steroid anti-inflammatory drugs, like Xephocam, bezodiazepines and fentanyl (when used at subnarcotic doses that do not affect the intracardial conductivity). The main analgesic component of lornoxycam was sufficient when used at a dose of 0.1 mg/kg and at a total dose of equal to or below 16 mg.
Assuntos
Anestesia Geral/métodos , Anti-Inflamatórios não Esteroides/uso terapêutico , Sistema de Condução Cardíaco/cirurgia , Piroxicam/análogos & derivados , Adulto , Idoso , Anestésicos Intravenosos , Ansiolíticos/uso terapêutico , Arritmias Cardíacas/cirurgia , Benzodiazepinas/uso terapêutico , Ablação por Cateter , Feminino , Fentanila/uso terapêutico , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Different anesthesias were used in 197 patients operated for supraventricular tachiarrhythmias through a transvenous access. Hypnoanalgesia based on preventive injection of a potent nonnarcotic antiinflammatory agent xefocame (lornoxicame), drip infusion of propofol (2-3 mg/kg/h), and bolus injection of dormicum under conditions of spontaneous respiration proved to be the best method.