Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jul 1997
[A diagnostic algorithm and treatment procedure in disordered vital functions in newborns admitted to a resuscitation ward].
Total mortality decreased by 2.5 times in the wards for intensive care of the newborns in the Tushino Pediatric Hospital in 1996 and is now 7.6%. Such results are due to a complex of measures, one such measure being the development and introduction of an algorithm for the diagnosis and treatment of newborns hospitalized in intensive care wards. The algorithm facilitates the work of the staff, helps earlier diagnose a disease, and, hence, carry out timely scientifically based therapy.
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Anesteziol Reanimatol · Jul 1997
[Anesthesia safety problems in general-profile surgical patients with concomitant hypertension and ischemic heart disease].
The authors discuss the problems in the anesthesiological approach to surgical patients with concomitant essential hypertension and coronary disease. These patients form the high-risk group for surgery and anesthesia, and the hazard of total anesthesia consists in the actual potentiality of cardiovascular decompensation both during and after the operation. Problems in medicamentous preparation of such patients to surgery, preoperative identification of coronary disease, dynamic computer monitoring of hemodynamics, and choice of anesthesia are discussed.