Эффективность и безопасность современных методов анестезии и седации при диагностических и лечебных процедурах в детской онкологии
![Диссертация: Эффективность и безопасность современных методов анестезии и седации при диагностических и лечебных процедурах в детской онкологии](https://westud.ru/work/3269021/cover.png)
Диссертация
Актуальной задачей является разработка анестезиологического обеспечение амбулаторных процедур с учетом ранней активизации детей и необходимостью обратной транспортировки после исследования. В этой связи необходимо изучение не только эффективности, но и продолжительности действия как ингаляционных (закись азота), так и неингаляционных средств анестезии и седации (мидазолам, кетамин, оксибутират… Читать ещё >
Содержание
- ГЛАВА 1. Актуальные вопросы общей анестезии и седации при диагностических и хирургических процедурах у детей обзор литературы)
- 1. 1. Общая часть
- 1. 2. Оценка психологического состояния ребенка и адекватности седации
- 1. 3. Пути введения препаратов
- 1. 4. Препараты для общей анестезии и седации
- 1. 5. Анестезия (седация) при различных исследованиях
- ГЛАВА 2. Характеристика клинических наблюдений и методов исследования
- 2. 1. Общая характеристика диагностических и лечебных процедур в клинике детской онкологии
- 2. 2. Методики анестезии (седации), используемые при диагностических и лечебных процедурах
- 2. 2. 1. Болезненные процедуры
- 2. 2. 2. Инвазивные процедуры средней продолжительности
- 2. 2. 3. Безболезненные процедуры
- 2. 3. Методика объективного контроля за состоянием больных
- 2. 4. Форма опросника для выявления отсроченных побочных эффектов кетамина у детей
- 2. 5. Анализ кардиоинтервалограммы
- 2. 6. Спектральная мощность кардиоинтервалограммы
- ГЛАВА 3. Эффективность применяемых средств анестезии и седации
- 3. 1. Закись азота
- 3. 2. Клинические показатели у ребенка во время закисно-кислородного наркоза
- 3. 3. Оксибутират натрия
- 3. 4. Мидазолам
- 3. 5. Мидазолам-кетаминовая анестезия
- ГЛАВА 4. Вопросы безопасности анестезии (седации)
- 4. 1. Собственные результаты исследования побочных эффектов анестезии и седации
- 4. 1. 1. Закись азота
- 4. 1. 2. Кетамин
- 4. 1. 3. Влияние кетамина на гемодинамику и ритм сердца
- 4. 2. Степень изменения ИН после введения кетамина в зависимости от его исходного уровня
- 4. 3. Другие препараты, используемые при седации
- 4. 4. Анестезия в неприспособленных условиях
- 4. 4. 1. Требования к мониторингу
- 4. 1. Собственные результаты исследования побочных эффектов анестезии и седации
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