NARKOZ VA UNING JARROHLIK AMALIYOTIDA QO‘LLANILISHI
Ключевые слова:
narkoz, og‘riq, og‘riqsizlantirish, operatsiya, peremedikatsiya, neyroleptiklar, xolinolitiklar, analgetiklar, miorelaksantlar, antihistamin, ingalyatsion, noingalyatsion, propofol,ketamin, draperidol medazalam.Аннотация
Ushbu maqolada narkozning jarrohlik amaliyotidagi ahamiyati, uni qo‘llash uchun ko‘rsatmalar yoki yo‘qligi, narkoz turlari, giyohvand moddalarning tasnifi va yuborish usullari, bemorlarni narkozga tayyorlash, bemor organizmida narkozning o‘tish bosqichlari, shuningdek, bemorga qarab anestetiklarning me’yorlari haqida ma’lumot berilgan. Xirurgik operatsiyalarda og‘riqsizlantirish, ya’ni narkozni qo‘llash katta amaliy ahamiyatga ega. Chunki,bemorlarda bajariladigan murakkab operatsiyalarda organizmdagi og‘riq impulslarini to‘liq va ratsional tarzda yo‘qotish, keraksiz harakatlarini bartaraf etish faqatgina narkoz orqali amalga oshiriladi.
Библиографические ссылки
1. Magomedov M.A., Zabolotskih I. B. Mioplegiya. Moscow: Applied medicine; 2010
(in Russian).
2. Mizikov V.M., Stamov V.I., Deshko Ju.V., Jalich A.Ju. To a problem of a reversed
of the neuromuscular block: neostigmine and sugammadex. Anesthesiology and
resuscitation. 2010; 2: 40—3 (in Russian).
3. Baillard C., Gehan G., Reboul-Marty J., Larmignat P., Samama C.M., Cupa M.
Residual curarization in the recovery room after vecuronium. Br. J. Anaesth. 2000; 84:
394—5.4. Eriksson L.I. Evidence-based practice and neuromuscular monitoring: It’s time for
routine quantitative assessment. Anesthesiology. 2003; 98: 1037—9.
5. Hayes A.H., Mirakhur R.K., Breslin D.S., Reid J.E., McCourt K.C. Postoperative
residual block after intermediate-acting neuromuscular blocking drugs. Anaesthesia.
2001; 56: 312—8.
6. Viby-Mogensen J. Postoperative residual curarization and evidence-based an
aesthesia. Br. J. Anaesth. 2000; 84: 301—3.
7. Debaene B., Plaud B., Dilly M.P., Donati F: Residual paralysis in the PACU after a
single intubating dose of nondepolarizing muscle relaxant with an intermediate
duration of action. Anesthesiology. 2003; 98: 1042—8.
8. Eriksson L.I., Lennmarken C., Wyon N., Johnson A. Attenuated ventilatory re
sponse to hypoxaemia at vecuronium-induced partial neuromuscular block. Acta
Anaesthesiol. Scand. 1992; 36: 710—5.
9. Eriksson L.I., Sundman E., Olsson R., Nilsson L., Witt H., Ekberg O., Kuylenstierna
R. Functional assessment of the pharynx at rest and during swallowing in partially
paralyzed humans: Simultaneous videomanometry and mechanomyography of awake
human volunteers. Anesthesiology. 1997; 87: 1035—43.
10. Sundman E., Witt H., Olsson R., Ekberg O., Kuylenstierna R., Eriksson L.I. The
incidence and mechanisms of pharyngeal and upper esophageal dysfunction in partially
paralyzed humans: Pharyngeal videoradiography and simultaneous manometry after
atracurium. Anesthesiology. 2000; 92: 977—84.
11. Berg H., Viby-Mogensen J., Roed J., Mortensen C.R., Engbæk J., Skovgaard L.T.,
Krintel J.J. Residual neuromuscular block is a risk factor for postoperative pulmonary
complications: A prospective, randomised, and blinded study of postoperative
pulmonary complications after atracurium, vecuronium and pancuronium. Acta
Anaesthesiol. Scand. 1997; 41: 1095—103.
12. Eriksson L.I., Sato M., Severinghaus J.W. Effect of a vecuronium-induced partial
neuromuscular block on hypoxic ventilatory response. Anesthesiology. 1993; 78:
693—9.
