Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 1993
Case Reports Comparative Study[Prevention of pressor reaction to tracheal intubation in patients with cerebral aneurysms: fentanyl and nitroglycerin combination].
The authors analyze the clinical efficacy of a combined method for the prevention of pressor reaction to laryngoscopy and tracheal intubation, based on the combination of common clinical doses of fentanyl (4 micrograms/kg b. m.) and intravenous infusion of nitroglycerin solution in 26 patients with brain vessel aneurysms. This method effectively prevented the dangerous rise of arterial pressure during laryngoscopy and tracheal intubation.
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Anesteziol Reanimatol · Jan 1993
Comparative Study[Use of nitrous oxide as a component of general anesthesia monitored by pulse oximetry during one-lung ventilation].
Pulse oximetry was employed to monitor the arterial blood oxygenation during surgery of 300 patients with pulmonary carcinomas. N2O2 anesthesia in 2:1 ratio was administered to all the patients. Change for one-lung ventilation did not lead to changes of SpO2 in 59% of the patients, whereas in 41% of the patients this value reduced below 93%. Change of the gas ratio to 1:1 in 35% of the cases was found sufficient to elevate the SpO2 value to the norm and only in 6% of the patients N2O2 had to be excluded from the anesthesia scheme for the period of one-lung ventilation and artificial ventilation with pure oxygen had to be resorted to.
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Anesteziol Reanimatol · Jan 1993
Comparative Study[Complications and peculiarities of anesthesia in abdominal delivery].
Analysis of the reasons responsible for complications of anesthesia in abdominal delivery has shown that such complications are most frequent before fetus extraction. They are: poorly corrected hypo- or hypertension and tachycardia; damages of major vessels, pleura and lungs upon central vein puncture; severe hypoxia in difficult or abortive intubations with mouth, larynx, pharynx, trachea and esophagus injuries; regurgitation and development of aspiration pneumonia (Mendelson syndrome); toxic and allergic reactions to psychopharmacological, narcotic and local anesthetic agents; signs of laryngobronchiolospasm; complications during suture of the uterus and abdominal cavity when main anesthesia is performed (hypotonic bleeding with the onset of ARDS, hemodynamic disturbances due to microembolism of the pulmonary artery branches upon active contractions of the uterus caused by uterotonics, side effects of myorelaxants); complications in the early postoperative period (prolonged apnea, the onset of acute cardiopulmonary and hepatic failure).