Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Sep 1992
[The effect of a nitroglycerin infusion on the hemodynamics, extravascular lung water and gas exchange in patients with adult respiratory distress syndrome].
Nine patients with adult respiratory distress syndrome, stage III, secondary to diffuse peritonitis have been examined. The patients were subject to pulmonary artery and aorta catheterization. ⋯ Selective hypotension in the pulmonary circulation was performed using an infusion of nitroglycerin solution. Despite differences in the response of patients with ARDS to nitroglycerin, when the drug was injected with optimal positive end-expiratory pressure, it promoted an increase in O2 delivery, normalization of pulmonary hemodynamics and a decrease in extravascular pulmonary water.
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Anesteziol Reanimatol · Sep 1992
[The hemodynamic effects of ketamine anesthesia in children with congenital heart diseases].
One hundred and thirty five children have been examined after surgery for congenital heart valve defects performed under ketamine anesthesia. It has been established that ketamine anesthesia has no considerable effect on the preload and cardiac pump function. ⋯ A spasm in the vessels of the conjunctiva is observed even when small drug doses are used. This may be accounted for by calcium accumulation in the muscular cells, noradrenaline hyperproduction, enhanced sensitivity of sympathomimetic receptors to circulating endogenous catecholamines.