Medicina
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Comparative Study
[Application of methods for hemodynamic monitoring in critical cardiac pathology (an experimental model for assessment of hemodynamics)].
Hemodynamic assessment of critically compromised patients with cardiac pathology is one of the goals of recent diagnostics and treatment strategies. Different methods for assessment of hemodynamics are applied in clinical practice. However, applied methods (invasive and noninvasive) have specific advantages and disadvantages. ⋯ It were selected 6 laboratory animals of different weight and sex. 7 measurements of hemodynamics were performed. Standard methodics was successfully applied in the experimental model. Results, method limitations and recommendations for further studies are presented in the article.
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Comparative Study
[Intrathecal morphine for postoperative analgesia in cardiac surgery].
The aim of study was to evaluate features for spinal morphine in undergoing coronary artery bypass surgery in early postoperative time and side effects of opioids. ⋯ Spinal morphine decreased pain after cardiosurgery and don't increased extubation time and side effects of opioids.
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Comparative Study
[Prognostication of acute intraoperative bleeding in children with burn wounds undergoing tangential necrectomy and auto-dermatoplasty].
The aim of this study was to estimate the blood loss of children undergoing tangential necrectomies and skin grafting by using gravimetric methods. Also we had to estimate the influence of age upon the quantity of blood loss. We examined 50 cases. ⋯ The age of children does not influence the intensiveness of bleeding per square measure site of the necrectomy and harvesting area. The blood loss is a constant quantity and is equal to 0.47 +/- 0.1 ml/cm2. The blood loss that takes place from one percent of the necrectomy and harvesting areas is approximately equal to 2.05% of the circulating blood volume.
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Comparative Study
[Analysis of treatment outcomes after electric injuries (1991-2000)].
During the 1991-2000 year period 1728 children and 1967 adults have been treated in the Unit of Plastic Surgery and Burns of Kaunas Medical University Hospital. A retrospective analysis of patients who sustained electric injuries during these years period was carried out. Among all patients 93 (2.517%) were injured by electricity. 38 (40.86%) of them were children and 55 (59.14%)--adult patients. ⋯ Five patients of adult high voltage injury group needed amputation. Three of them needed amputation of forearm, one--of upper arm and one--of the calf. From low voltage injury group 3 patients needed amputations of one or two fingers and only one patient needed amputation of upper arm.
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Case Reports Comparative Study
[Simultaneous myocardial revascularization and abdominal aortic aneurysm repair (report of a fatal case)].
Patients with coronary disease associated with abdominal aortic aneurysm or aortoiliac occlusive disease often raise problems of operative strategy. In particular, the order in which these lesions should be treated is a frequent source of controversy. Our approach for the past two years has been a combined myocardial revascularization with abdominal aortic reconstruction in patients with both lesions. ⋯ We report here the fatal case of combined coronary artery bypass grafting and abdominal aortic aneurysm repair. Partial heparinization and operation without extracorporeal circulation caused acute thrombosis of abdominal aortic aneurysm and femoral arteries. Our first experience advocates using total heparinisation and cardiopulmonary bypass for combined cardiac-aortic procedures.