Цитата:
Сообщение от Soul3939
есть же какие-то общие , хотя бы примерные, стандарты анестезии для определенного типа вмешательств?..
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Никаких проблем - читайте, переводите, знакомьте своего анестезиолога с альтернативными техниками анестезии при малых (до 4 л) сипосакциях:
Monitored anaesthesia care
This is a useful technique for small volume liposuction. Infiltration with vasoconstrictor and local anaesthetic reduces bleeding and provides intraoperative analgesia, respectively. Thus, it allows liposuction to be performed under light sedation, implying a short recovery time, earlier discharge, and low cost to the patient. However, if infiltration is not uniform, some areas will have a lack of analgesia, thus requiring more sedation.[14,15]
Sedation with midazolam (1-3 mg) and analgesia with fentanyl (25-50 mg) or remifentanil (12.5-25 mg) is commonly employed for small volume liposuction. Propofol (0.5-1 mg/kg) may be given intermittently for monitored anaesthesia care. Ketamine in low doses (0.25-0.5 mg/kg) along with midazolam decreases significantly the consumption of opioids in the intraoperative period and of analgesics in the postoperative period. Clonidine 2-5 mg/kg, is also a useful adjuvant in sedation techniques.[37,39,40]
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