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The thematic module 3. A general anaesthesiology is that reanimation Practical employment № 11

Theme: local anaesthesia

I. Actuality of theme

Local anaesthesia matters very much in surgical practice. By means this type of anaesthesia possible implementation of not only simple operations but also more difficult cavernous operative interferences. In this connection the capture and ability to execute the local anaesthetizing becomes essential. For students 3 courses the acquired knowledges and skills on the given theme will be needed at the study of surgery and on senior courses. Professional surgical activity impossible without the use of local anaesthesia.

II. Purpose of employment:

1. To familiarize with the value of local anaesthesia during conducting of surgical interferences and bandaging of sick (=1).

2. To know about feeling of patient during conducting of local anaesthesia (=1).

3. To know determination of local and general anaesthesia (=2).

4. To know the types of local anaesthesia (=2).

5. To know preparations which use for local anaesthesia (=2).

6. To know testimonies and protivokazaniya to local anaesthesia, and also advantages before other methods of anaesthetizing (=2).

7. To capture the technique of conducting of infiltration anaesthesia (=3).

8. To capture the method of conducting of explorer anaesthesia on Oberstu-Lukashevichu (=3).

III. Providing of initial level of knowledges-abilities

Literature:

Basic:

  1. Metodichnі rozrobki for auditornoї that samostіynoї roboti studentіv.

  2. Zagalna hіrurgіya / After red. S.P.Guchenko, M.D.Gelіbi, S.D.Hіmіcha – Kiїv.: Zdorov’ya, 1999.

  3. Cherenko M.P., Vavrik G.M. Zagalna hіrurgіya z anestezіologієyu, by the bases of reanіmatologії that to doglyadu after hvorimi – Kiїv.: Zdorov’ya, 1999.

  4. Gostishev V.K. General surgery: Studies. – M.: Medicine, 1993.

  5. Gostishev V.K. "Guidance to practical employments on general surgery". M., "Medicine" - 1987.

Additional:

1. A.A. Simodeyko, S.S. Fіlіp, O.O. Boldigar Zagalna hіrurgіya in pitannyah і vіdpovіdyah. Uggorod, «Іva» - 2005.

2. A.A. Simodeyko, S.S. Fіlіp, O.O. Boldigar, Panto V.І. By Praktichnі naviki z zagalnoї hіrurgії z doglyadom after hvorimi. Uggorod, UgNU. – 2001.

Tests and tasks for verification of initial level of knowledges

What diseases the method of local anaesthesia on Lukashevichu-Oberstu is used at?

paranefrit

growing nogot+ in

paraproktit

pankreonekroz

panaritsiy+

asphyxia

What solutions can be used for local anaesthesia?

furagin

dikain+

ftorotan

gemodez

novokain+

poliglyukin

How does pain on a basic exchange operate?

the selection adrenalina+ is multiplied

the selection in the blood of tiroksina diminishes

the selection of gistamina diminishes

the selection of serotonin diminishes

the selection prostaglandina+ is multiplied

the selection of quinine diminishes

What solution of novocaine is used at vnutrikostnoy anaesthesia?

0,5 %+

2%

3%

1%

0,25%+

5%

Testimonies for retromammarnoy anaesthesia?

flegmonoznaya phase of mastitis

the infiltration phase mastita+

gangrenous phase of mastitis

retromammarniy abscess

the seroznaya phase mastita+

subareolyarniy abscess

What a vagosimpaticheskaya blockade is used for?

for the prophylaxis of reflex asphyxia

for the removal of paresis of intestine

for the medical treatment plevro-pulmonalnogo shoka+

for the prophylaxis of fibrillyatsii of ventricles of heart

for the prophylaxis plevro-pulmonalnogo shoka+

for poslableniya of musculature and prophylaxis of paraplegia

Anaesthesia after periduralnoy anaesthesia comes through:

5 minutes

10 minutes

15 minutes

20 minutes

25 minut+

30 minut+

What variety of local anaesthesia preliminary imposition of plait is needed at?

anaesthesia by cooling

vnutrisosudistaya anesteziya+

periduralnaya anaesthesia

vnutrikostnaya anesteziya+

the combined anaesthesia

spinal anaesthesia

For the repozitsii break of radial bone it is possible to apply in the lower third?

infiltration anaesthesia

case blockade

anaesthesia by greasing

introduction of a 2% novocaine to the haematoma of the place pereloma+

periduralnuyu anaesthesia

blockade on Kulen-Kampfu+

What complication meets at implementation of paranefralnoy novocaine blockade?

necrosis of fabrics

allergic reaction

the wound pochki+

regurgitatsiya

peredozirovanie

the wound mochetochnika+

What signs of poisoning of anestetikami at local anaesthesia?

odishka+

violation of cerebral circulation of blood

bradikardiya

anuriya

expansion of pupils

golovokrugenie+

What from the transferred methods of local anaesthesia behave to the explorers?

anaesthesia by cooling

anaesthesia by greasing

periduralnaya anesteziya+

endarterial anaesthesia

spinal anesteziya+

vnutrikostnaya anaesthesia

What complication can arise up at anaesthesia by novocaine?

peredozirovanie

anafilakticheskiy shok+

accidental introduction of preparation to the artery

kropivnitsa+

accidental introduction of preparation to the vein

the chemical irritation of fabrics is necrosis

What solutions of novocaine can be used for a paranefralnoy blockade?

1%

5%

10%

2%

0,25%+

0,5%+

What preparations are applied at medical treatment of poisoning of anestetikami?

Antibiotics

cardiac glikozidi+

proteoliticheskie enzymes

antihistaminic preparati+

anticoagulants

mishechnie relaksanti

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