Exsperimental and clinical justification of novocainic trigemino-vagosympathetic block in the treatment of the combined craniocerebral injury

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Abstract

The increase of systemic and regional arterial pressure, the disorder of microcirculation in bulbar conjunctiva and eye retina take place in the combined craniocerebral injury. The effective method in complex pathogenetic treatment of this type of the injury is novocainic trigeminovagosympathetic block including the effects of the Zhakov trigeminosympathetic block and the Vishnevsky vagosympathetic block. The complex pathogenetic treatment method of the combined craniocerebral injury using trigeminovagosympathetic block abates pain, decreases arterial pressure, normalizes microcirculation and finally strengthens reparative and proliferative processes in damaged organs and tissues.

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Т. Т. Faizov

Kazan State Medical University

Author for correspondence.
Email: info@eco-vector.com

Doctor of Medical Sciences, Head of the Department of Oral and Maxillofacial Surgery

Russian Federation, Kazan

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2. Fig. 1. Designations: 1 - trigeminal node; 2 - internal carotid artery; 3 - external carotid artery; 4 - the vagus nerve; 5 - sympathetic trunk; 6 - carotid glomus; 7 - thyroid gland; 8 - common carotid artery. I - GSB according to Zhakov, bilateral (10-12 ml of 0.5% solution of novocaine), subzygomatic approach (needle - 7 cm). II - VSB according to Vishnevsky, bilateral (40-50 ml 0.25 % novocaine solution), the lateral surface of the neck (needle - 5 cm) .III - modified TSB, bilateral (60 ml of 0.5% novocaine solution), subzygomatic approach (needle - 4 cm).

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3. Fig. 2. Dynamics of the BP of the facial artery in traumatic brain injury, depending on the method of novocaine blockade.

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© 1999 Faizov Т.Т.

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