[Central electroanalgesia as a component of combined anesthesia in reconstructive microsurgery]

Efficacy of central analgesia and adequacy of anesthesiologic protection in operations making use of microsurgical techniques were analyzed by double blind method using the criterion 'requirement in narcotics' in 88 specially selected patients divided into 4 groups. Group 1 (n = 24) were patients operated on under electro-medicamentous anesthesia after Kastrubin-Kordyukov; group 2 (n = 21) were operated on under electro-medicamentous anesthesia after Limoges' technique modified by M.I. Kuzin et al.; group 3 consisted of 14 patients operated on under combined anesthesia based on NLA agents and simultaneous simulation of transcerebral electropulse exposure (placebo group); and group 4 (n = 29) were patients operated on under combined NLA anesthesia (controls). To assess the function of systems of adaptation to surgical trauma blood plasma levels of ACTH and cyclic nucleotides were measured at 7 stages of anesthesia.