Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · May 1990
Comparative Study[Total intravenous general anesthesia during radical correction of tetralogy of Fallot].
Three techniques of general intravenous anesthesia were compared, using mathematical parameters of the heart rhythm, hemodynamic and sympathoadrenal system responses, arterial blood Hb saturation with O2 (SaO2) and thermometry. It has been established that anesthesia with dipidolor ensures adequate protection against the operation stress both in patients with tetralogy of Fallot previously subject to interarterial anastomoses and patients with tetralogy of Fallot without anastomoses. ⋯ A more marked response of sympathetic autonomous nervous system and hemodynamics in patients with tetralogy of Fallot previously subject to anastomoses is, probably, mediated by a more intensive analgesic sequestration in the lungs in the presence of functioning anastomoses, which attenuates the analgetic effect. Anesthesia in patients with tetralogy of Fallot previously subject to interaortic anastomoses should be performed using higher doses of narcotic analgesics.
-
Anesteziol Reanimatol · May 1990
[Evaluation of subarachnoid anesthesia using local anesthetics in combination with morphine].
The efficacy of subarachnoidal anesthesia with lidocaine (trimecaine) in combination with small morphine doses was compared to anesthesia with lidocaine (trimecaine) alone. The analysis of the results obtained has demonstrated that the combination of local anesthetics (lidocaine, trimecaine) with minimum doses of narcotic analgesics (morphine) improves considerably the quality of anesthesia, enhancing the blockade of nociceptive impulsation from the operative area and ensures prolonged postoperative analgesia.
-
Anesteziol Reanimatol · May 1990
[Characteristics of hemostatic disorders in septic shock in children].
Changes at different stages of coagulation cascade have been assessed during intensive therapy of septic shock in 40 children aged 1 to 14 years. Progressing septic shock is accompanied by chronometric and structural hypocoagulation with potential hypercoagulation in transfer samples, thrombocytopenia and thrombocytopathy. ⋯ The decrement of arterio-venous difference in hemostasis parameters is typical of marked stages of the shock lung. Dynamic control over hemostasis shifts makes it possible to predict the outcome of septic shock.