[Optimization of anesthetic maintenance of a facial dermabrasion operation].
Facial dermabrasion requires the preservation of natural mimic muscle tone, adequate spontaneous respiration, and contact with a patient. By taking into account the commercial pattern of surgical interventions, anesthesia should be as safe and comfortable as possible. For these purposes, the standard procedure of intravenous anesthesia with spontaneous respiration being preserved is optimized on the anticipatory analgesia principle, by using analgesics having the non-opiate mechanism of action: the kininogenesis inhibitor transamine and the nonsteroidal anti-inflammatory drug ketonal. This makes it possible to provide the adequacy of anesthesia and a good cardiovascular response with the doses of narcotic analgesics, hypnotics, and an anxiolytics, which do not cause respiratory distress, and to avoid using narcotic analgesics. The use of the antiemetics tropisetron and dexamethasone at the induction stage of anesthesia has been ascertained to be a reliable preventive measure against postoperative nausea and vomiting, by substantially enhancing its comfortability.
Siluianova
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D000771:Anesthesia, Intravenous / Q000009:adverse effects / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D014151:Anti-Anxiety Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000932:Antiemetics / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D003869:Dermabrasion / Q000379:methods*; D004305:Dose-Response Relationship, Drug; D004359:Drug Therapy, Combination; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage / Q000627:therapeutic use; D011229:Preanesthetic Medication / Q000009:adverse effects / Q000379:methods; D012119:Respiration / Q000187:drug effects
D018686:Anesthetics, Intravenous; D014151:Anti-Anxiety Agents; D000932:Antiemetics; D006993:Hypnotics and Sedatives