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  • Title: [Multicomponent general anesthesia using analgesic butorphanol tartrate (beforal) in thoracic surgery].
    Author: Grishin VV, Vyzhigina MA.
    Journal: Anesteziol Reanimatol; 1994; (4):24-7. PubMed ID: 7802312.
    Abstract:
    Two schemes of anesthesia were used in 34 patients, making use of beforal, an agonist-antagonist of opioid receptors, as an analgesic component of total anesthesia during operations on the lungs. To improve neurovegetative protection, adrenomimetic clofelin was added to the Ist scheme and neuroleptic droperidol to the IInd. Use of beforal as an analgesic component of balanced total anesthesia in thoracal surgery in combination with both clofelin and droperidol ensured a sufficient level of anesthesiologic protection. Combination of beforal with clofelin, however, prevented hyperdynamic circulatory reactions at traumatic stages of the operation and intubation of the trachea and stabilized thermal homeostasis parameters, this indicating a more potent neurovegetative protection in this scheme of anesthesia.
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