Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jul 1997
Randomized Controlled Trial Comparative Study Clinical Trial[A comparison of the analgesic effect of ketanov and tramal in postoperative pain].
The efficacy of postoperative pain relief by ketanov and tramal was assessed in 42 patients operated on the abdominal organs and lower limb arteries. The time of development of the analgesic effect and duration and depth of analgesia were compared. The drug effects were compared from protocols of clinical examination, hemodynamic changes, and time course of external respiration and blood saturation with oxygen. The findings confirm a high analgesic effect of ketanov, which is not inferior to tramal, and by some parameters even higher.
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Anesteziol Reanimatol · Jul 1997
Review Case Reports[The use of the laryngeal mask in a female patient with an unpredictable difficult intubation].
A laryngeal mask was used after repeated ineffective attempts at intubation. Preoperative examinations failed to defect signs of a possible difficult intubation. ⋯ Anesthesia coursed smoothly in the presence of stable hemodynamics and gas exchange. Use of laryngeal mask helped solve the problem of unpredictable difficult intubation and provide reliable patency of the upper respiratory airways in a female patient with latent stenosis of the subglottal space.
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Anesteziol Reanimatol · Jul 1997
Randomized Controlled Trial Clinical Trial[The epidural use of morphine and alpha 2-agonists for postoperative analgesia].
Three protocols of postoperative pain relief after gastric surgery were used in 60 male patients: regular intramuscular morphine, epidural morphine, and epidural morphine with 0.1 mg of clonidine. Pain relief was more effective with the epidural route of administration. Addition of clonidine in a daily dose of 0.1 mg allowed a twofold decrease of epidural morphine dose, involving lesser hyperdynamic postoperative cardiovascular changes and complete elimination of psychotic complications and delirium in alcohol-dependent patients.
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Anesteziol Reanimatol · Jul 1997
Review Comparative Study[Alternative means for reducing the cost of xenon anesthesia].
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Anesteziol Reanimatol · Jul 1997
[Occlusion pressure in the first 100 ms of inspiration (P0.1) as an index of the possibility of decreasing respiratory support in acute respiratory failure].
The need in making the process of transfer of patients to spontaneous respiration using ventilation of the lungs with inspiratory pressure support (VLIPS) after prolonged mechanical ventilation of the lungs prompted the authors to analyze the prognostic value of criteria traditionally used by the physician to cease or decrease the respiratory support (vital capacity of the lungs, peak spontaneous flow, PaO2, etc.) and the P0.1 occlusion pressure in the airways at the end of the first 100 msec of inhalation. This latter value proved to be the most sensitive (88%), specific (86%), positive (95%) and negative (67%) prognostic value in predicting the results of decrease of respiratory support under conditions of VLIPS. The P0.1 value determining the result of decrease of respiratory support in patients with parenchymatous pulmonary diseases under conditions of VLIPS is 3.8 cm H2O.