title: [Analgesia and intensive therapy in single-step, combined and complex operations].
abstract: 300 single-step, combined and complex operations have been performed to patients aged 16 to 82 years in the Institute of Proctology, USSR Ministry of Public Health, over the last 10-year period. Surgery was performed under various types of endotracheal combined analgesia: NLA, NLA in combination with halothane or calypsol. Arterial hypotension (short-term BP decrease by more than 40% baseline) was found in 29 patients (9.6%), no intraoperative lethal outcomes have been observed. The volume of the infusion-transfusion therapy depended on intraoperative blood loss, duration of surgery and the extension of surgical interventions (8.4-12.4 ml/kg.h). An overall mortality rate was 3.6%, which does not exceed the mortality rate observed during conventional operations on the colon.
authors.forename: V I
authors.initials: VI
authors.lastname: Smirnova
authors.forename: I E
authors.initials: IE
authors.lastname: Gridchik
authors.forename: A D
authors.initials: AD
authors.lastname: Tregubenko
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Shelygin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000698:Analgesia; D003422:Critical Care; D006801:Humans; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative
vernacular_title: Obezbolivanie i intensivnaia terapiia pri odnomomentnykh kombinirovannykh i sochetannykh operatsiiakh.