By Allan P. Reed, Joel A. Kaplan

ISBN-10: 0443085951

ISBN-13: 9780443085956

This compilation of scientific case reports goals to assist arrange citizens for his or her forums, rather the oral examination. It covers subject matters comparable to paediatric, obstetric and geriatric anaesthesia, pharmacology, nearby anaesthesia and ache, neighborhood anaesthesia for ambulatory surgical procedure and AIDS.

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5. Как определить правильное местоположение двухпросветной трубки? Правильность функционирования двухпросветной эндотрахеальной трубки необходимо проверять сразу же после ее установки и после каждого изменения ее позиции. Отсутствие изоляции легких должно быть обнаружено возмож­ но раньше;, чтобы вовремя провести необходимую коррекцию. Вначале раздувают как эндобронхиальную, так и эндотрахеальную манжетки. В эндобронхиальную достаточно ввести 1 — 2 мл воздуха, чтобы добиться герметизации. Вентиляция через общ просвета эндотрахеальной трубки должна вызывать запотева-г ние на внутренней поверхности прозрачной пластиковой труб-> ки, сопровождаться движениями обеих половин грудной клетки и дыхательными шумами в том и в другом легком.

4 Ослабить, если предварительно ввести лидокаин, наркотики и Ингаляционные анестетики сильного действия. Во время обра­ ботки кожи, укрывания больного и отграничения операционно­ го поля стимуляция минимальна, и кровь депонируется. Оба •тих фактора предрасполагают к снижению артериального дав­ ления. Снижение уровня анестезии в этом периоде помогает Предупредить гипотензию. Последующее изменение угла накло­ на операционного стола заметно затрудняет венозный возврат к Сердцу.

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Clinical Cases in Anesthesia by Allan P. Reed, Joel A. Kaplan

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