Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector3620210.17816/RA36202ArticlesСтатьиResearch ArticleSelected chapters from monograph «Spinal Anesthesia in Obstetrics» Chapter 6. Neurophysiologic basics of spinal anesthesiaОтдельные главы из монографии «Спинномозговая анестезия в акушерстве» Глава 6. Факторы, влияющие на распределение местных анестетиков в субарахноидальном пространствеShifmanE. M.ШифманЕ. М.

Faculty of refresher training for health care professionals, Department of anesthesiology and resuscitation

ФПКМР, кафедра анестезиологии и реаниматологии

FilippovichG. V.ФилипповичГ. В.

Department of Anesthesia and Critical Care Medicine

отделение анестезии и реанимации

People’s Friendship University of RussiaРУДНFSBI «Research Center for Obstetrics, Gynecology and Perinatology»ФГБУ «Научный центр акушерства, гинекологии и перинатологии имени академика В. И. Кулакова»1509201373VOL VII, NO3 (2013)ТОМ 7, №3 (2013)354921072020Copyright ©; 2013, Eco-VectorCopyright ©; 2013, ООО "Эко-Вектор"2013Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/36202

Clinical course of spinal block, intensity of its manifestation, quality of spinal anesthesia and occurrence of complications are mainly caused by level of local anesthetic distribution in subarachnoid space. Several factors responsible of this process and consequently neuraxial block are currently found out. The presented lecture considers the most clinically significant factors.

Клиническая картина спинального блока, выраженность его проявлений, качество спинномозговой анестезии, наличие или отсутствие осложнений во многом определяются степенью распространения местных анестетиков в субарахноидальном пространстве. К настоящему моменту выявлен целый ряд факторов, влияющих на этот процесс, а, следовательно, и на характеристики достигнутого нейроаксиального блока. Клинически наиболее значимые из этих факторов изложены в предлагаемой лекции.

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