USSR METHOD OF ANESTHESIA BY MEANS OF NOVOCAIN-HEXENAL INFILTRATION OF TISSUES

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP80-00809A000700090424-0
• Release Decision: RIPPUB
• Original Classification: R
• Document Page Count: 2
• Document Creation Date: December 22, 2016
• Document Release Date: August 10, 2011
• Sequence Number: 424
• Publication Date: December 3, 1952
• Content Type: REPORT

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COUNTRY USSR
CLASSIFICATION RESTRICTID
CENTRAL NTELLIG GEVCY
FOREIGN DOCUMENTS OR RAD O BROADCASTS
REPORT
CD N0.
DATE OF
PUBLISHED Monthly periodical
WHEP,E
PUBLISi;LD Moacw
DATE
PUBLISHED May 1952
LANGUAGE Russian
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INFORMATION 1952
DATE DIST. 3 DEG 1952
NO. OF P4GES 2
THIS IS UNEVALUATED INFORMATION
Meditaina, Vol XVI, No 5, PP 40, 41.
USSR Ma'TgOp Og ANFSTf~SIA ~ MEANS OF NOVOCAIN_
~~' INFILTRATION 0_ g-S~
K. Ya. 2hux'svleva
Arkhangel'ek
When a patient is nervous and excitable, suffers Prom hysteria, or has a
labile payche~ imPreasions connected with the retention of tactile sensitivity
may result in undesirable reactions during a surgical operation.
combinations o:? anesthetics xith the aid of which the surgeon caa eliminate par_
ticipation oP the There are many
cerebral cortex io order to exclude senaetious that
agreeable to the patient during an operatioa. maY be dis-
For the past 4 years, we have aFplied novocain-hexenal
filtration of tissues as a method of anesthesia. This
used oni rvipal sodium] in-
than 0-y in caeca of brief surgical operations that continuedwPoronogi~lly
which3took more timeBeisentl=esectionsio thesst ~ecyf anesthesia in operations
The procedure Was as folio+s. intestinal tract
etc.
Thirty minutes before the operation, we infected subcutaneously one cubic
centimeter of c one-percent solution oP pantopen or morphine. Iamediately be-
fore the operation, one rgram27 of hexenal diluted with 250-300 g oP a 0.
lution oP novocain was infected into the soft tissues along the line of the prd-
~ected incision. We noticed that the depth of glee 25$ so-
aeta in are enhanced by having absolute quiet in the opei'atingpr oo mw Fh which it
to make sure that hexenal and novocain develop a sufficient effect, it is nece~-
eary to wait Por 4-6 min after the infiltration of +, urthermore,
can be begun. In more prolonged operations, when itiwasenecessarytto leeration
the period oP sleep, we introduced in rare cases an additional
drug mixture under the gthen
additional 4uantit peritoneum or into the thickness oP the mesenterium.tThis
of a 0.25$ solution ofonovo ain.0 The totragl doaehofehnexenaladi6enotnexoeed22,0 g
~Y7.
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Using this technique, we succeeded in most cases in "switching off" the
patient's coaeciouaness, ea yell as in cstabliahing complete aaestheais. The
state of sleep continued during the whole operation and was sustained for sev-
eral hours after the operation. In the zone of the operation wound, no changes
were observed that made it possible to distinguish this type of anesthesia from
ordinary infiltration oP tissues viti'i novocain.
Among the operations performed by us xith the aid of novocain-hexenal in-
filtration, there were 54 appendectomiee, 45 resections aP the stomach, 41 vari-
ous laparotomies, 30 gastroenteral anastomoaea, 13 amputations oP e.?ttremitiea,
12 auturinga of perforating ulcers of the stomach and the duodenum, 8 amputa-
tions of the mammary glands, sad 9 other operations.
In caeca xhere the use of more than 250 g of the anesthetizing solution
were required during the course oP the operation, hexenal was dissolved in the
Piret 250 g that were used. After 250 g of solution had been applied, the tis-
sues rare per'iaed with novocain solution not containing say hexenal. In cases
where patients performed involuntary motions during the operatics (attempts to
raise a 'imb), an Snereased narcotic effect was necessary. Thin effect was
achieved by an additional application of hexenal.
In 39 caeca, novocain-hexenal aneatheai. had to be supplemented by ether
narcosis. This necessity arose because Lhe patients in question exhibited ex-
citement, as well as violent and prolonged reactions, to the displacement of or-
gsas. It is characterlstlc that the qruantity of ether which had to be used in
these caeca did not exceed 50.0-60.0 L-c 77,
Subsequent observations showed that the nervous system of persona who had
used narcotics or excessive quaatitles of alcohol exhibited an inverted reac-
tion to hexenal. Zn such persona, hexenal produced excitement. At present, we
desist Prom using novocain-hexenal anesthesia on such patients.
The post operative geriod in patients who underweLt novocain-hexenal an-
eathesie included continuation of sleep for 30-40 min. Occasionally, the pa-
tients axoke for a brief time and then fell into natural sleep that continued
for 4-5 hours. Invariably, patients developed a lasting amnesia in regard to
she operation and the immediate postoperative period. This also applied to pa-
tients who exhibited excitement during the operation.
The_ were no complications, no effects on the composition of the blood or
urine, and ao changes Sn the blood pressure. Whatever SnsigniPicant fluctu~-
tions of blood pressure, etc., were observed, they did not differ from those
that occur after operations carried out with the aid of novocain anesthesia.
If the patient c,uffers from some disease of the internal parenchymatous
organs, the use of novocain in combination with hexenal is contraindicated.
To summarize, the following may be said?
1. To produce local anesthesia and elmultaneously exclude the patient's
consciousness, novocain-hexenal layer-by-layer infiltration of tissues is of
advantage.
2. Application of this method does not result in any complications; it
brings about s lasting amnesia during the postoperative period.
3? Novocair}-hexenal infiltration of tissues is recommended in cases xhere
debilitated persons or patients exhibiting a heightened nervous excitability are
operated on.
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