Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 1998
Comparative Study[Anticipated intensive care in gunshot injuries of the abdomen].
Analysis of intensive care of 345 patients with gunshot wounds permitted the development of standard protocols of such care with consideration for the visceral injuries. In wounds to the large intestine, multiple-modality treatment including hyperbaric oxygenation, extracorporeal detoxication, and intraaortic infusion of drugs is recommended irrespective of the phase of peritonitis. ⋯ However, in both cases these methods are to be used not after manifestation of signs of disorders in the abdominal cavity, but anticipate them, and the treatment is to be based on the general regularities in the course of traumatic disease in wounded patients. Such an approach can prevent the progress of peritonitis and improve the outcome of wound.
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Anesteziol Reanimatol · Mar 1998
Comparative Study[Objective assessment of the severity of gunshot wounds].
By the present time, many mathematical models have been developed for assessing the status of patients with grave mechanical injuries. However, comparative analysis of the efficacy of predicting the outcomes of shock and traumatic disease with the use of some models in patients with war and other than war traumas showed that these methods are not fit for cases with gunshot wounds. We consider that a differentiated approach is needed in assessment of the status of wounded and injured patients.
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Anesteziol Reanimatol · Mar 1998
Comparative Study[Anesthesiological provisions in ambulatory dentistry].
Ten methods of intravenous anesthesia for dental treatment were used in 6504 patients in an outpatient setting. Drug doses were assessed in 504 patients and complications caused by anesthesia analyzed. Intravenous anesthesia with combinations of diprivan, diazepam (relanium), calipsol, and tramal is preferable. The most prevalent complication of anesthesia which requires special treatment is aseptic postinjection phlebitis, most incident after sombrevin.