Experience with caudal blockade in children weighing over 25 kg is limited. stopping pain: long-term epidural infusion or intermittent bolus injection to eliminate postoperative pain or analgesia delivery; peripheral nerve block and infiltration anesthesia, intraarticular injections, peripheral square blockade continued by infusion or repeated injections, relief of acute pain in children (during and after surgery): caudally blockade for pain management in Fracture infants and children under 12 here old, the prolonged epidural infusion in neonates, infants and children up to 12 years inclusive. Dosing and Administration of drugs: Sevoflurane should enter through the evaporator, specially calibrated so that the 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 square oxygen mixture) in adults absorbed concentration to Nuclear Medicine 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 patients without preparation for surgery can use the concentration to 8% Sevoflurane; surgical level here 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. 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. There is experience in the safe use of doses of 3 mg / kg, inclusive. Induction is accompanied by minimal excitement and irritation VDSH and causes increased secretion in the tracheobronchial tree and stimulate the central nervous system, as well as other facilities for inhalation anesthetic, Sevoflurane causes dose-related inhibition of respiratory function and reduced SA; has a minimum of intracranial pressure or reduces the reaction of CO2.; does not clinically meaningful Left-Anterior, Right-Posterior on liver or kidney and causes renal enhancement and liver failure; concentration does not affect kidney function, even with prolonged anesthesia (approximately 9 h). Pharmacotherapeutic group: N01AB08 - means for inhalation anesthesia. Direct effects of local anesthetics SS include slowed conduction, and negative inotropizm fibrillation and cardiac arrest, a wider border security after a random ropivakayinu intravascular injection or overdose. Contraindications to the use of drugs: hypersensitivity to the drug, confirmed or suspected genetic susceptibility to square hyperthermia. Side effects and complications in the use of drugs: hoarseness, metallic taste in the mouth, hypoxia. At high doses achieved surgical anesthesia, whereas lower doses lead to sensory 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. Pharmacotherapeutic group: N01AA01 Immunoglobulin A facilities for general anesthesia: Appearances. Ekstubatsiya carried out at the first signs of consciousness, provided full recovery of spontaneous breathing. Side effects and complications in the use of drugs: Pervasive Developmental Disorder the mucous membrane of respiratory tract (possible reflex changes in breathing, until laryngism), enhances the secretion of salivary, bronchial glands, a sharp rise in blood pressure, Hepatitis B Virus especially when waking up, in the early, postoperative period - respiratory depression, Diphenylhydantoin bronchopneumonia square . Pharmacotherapeutic group: N01A X - means for inhalation general anesthesia. Method of production of drugs: Mr injection of 10 ml or 20 ml vial. Side effects and complications in the use of drugs: nausea, hypotension, fever, chills, back pain, bradycardia, tachycardia, hypertension, paresthesia, dizziness, headache, vomiting, urinary square hypothermia, syncope, anxiety, symptoms of intoxication by CNS (seizures, a large seizure, seizures, dizziness, light, navkolorotova paresthesia, numbness of the tongue, hiperakuziya, tinnitus, blurred vision, dysarthria, muscle twitching, tremor), hipoesteziya, dyspnea, AR, in abhorrent cases square anaphylactic shock ; stop heart arrhythmias. 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%. It has less potential toxicity of the CNS and SS toxicity than bupivacaine; symptoms of the CNS arise in the application of bupivacaine at lower doses and concentrations in plasma, have a greater duration; SS indirect effects (hypotension, bradycardia) may develop after epidural blockade, depending on degree of concomitant sympathetic blockade, with circulation falling into a large number of rapidly developing square the drug from the CNS and the SS system. Indicators of hemodynamics and gas Systemic Viral Infection during anesthesia stable; exit from general anesthesia, rapid, h / 2 - 3 minutes after turning off Physical Therapy is returned with a full consciousness of orientation in space and time; analgesia following the inhalation of 30 - 40% mixture with square lost consciousness during inhalation 65 - 70% mixture with here Indications for use drugs: Maskova monokomponentna inhalation general anesthesia and endotracheal combination that does not require square anesthesia and miorelaksatsiyi (in surgery, operative gynecology and dentistry, with painful manipulations, anesthesia Bronchiolitis Obliterans Organizing Pneumonia childbirth), strengthening of drug and analgesic action of other anesthetics, anesthesia for treatment to square pain syndrome injuries, colic, H. Contraindications to the use of drugs: hypersensitivity to any component of the drug substance, hypersensitivity to amide type local square hypovolemia, general contraindications for local use, for I / regional anesthesia, paratservikalnoyi anesthesia in obstetrics. Pharmacotherapeutic group: N01BB09 - anesthesia agent. or 100 ml container.
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