Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jul 1998
[A strategy and procedure for the antibacterial therapy of abdominal sepsis].
Offers a protocol of antibacterial therapy of abdominal sepsis in surgical patients. Analyzes the principal etiological agents of abdominal septic complications. Presents optimal schemes of antibacterial therapy of abdominal sepsis. Pays special attention to choice of antibiotics in different clinical situations.
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Anesteziol Reanimatol · Jul 1998
Randomized Controlled Trial Clinical Trial[The use of propofol (Diprivan) for inducing anesthesia in neurosurgical patients. II. Its effect on intracranial pressure and on cerebral perfusion pressure].
Clinical study of the effect of propofol (diprivan) on intracranial and cerebral perfusion pressure (ICP and CPP, respectively) in 30 patients with neurosurgical diseases of the brain showed that propofol without narcotic analgesics did not block ICP increase in response to tracheal intubation. If it was combined with narcotic analgesics, the optimal combination was with pyritramide in a dose of 0.4 mg/kg, because this combination blocked ICP increase in response to laryngoscopy and tracheal intubation and did not appreciably decrease CPP. Propofol for decreasing acute intracranial hypertension (like bolus injection of thiopental) during surgery is unjustified, because during anesthesia, bolus injection of propofol just negligibly decreases ICP.
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Anesteziol Reanimatol · Jul 1998
Comparative Study[Experience in using plasmapheresis as a component in the intensive therapy of critical states].
Ninety-six plasmapheresis sessions were carried out in 54 patients. The indications to the treatment were the DIC syndrome, positional compression syndrome, pancreonecrosis, acute poisonings, acute hepatic failure, sepsis, and immunocomplex diseases. The volume of plasma removed during a session was 300-1500 ml. 50-60% of removed volume was replaced by fresh-frozen plasma and albumen and 40% with colloids.
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Anesteziol Reanimatol · Jul 1998
Comparative Study[Cerebral oximetry in the para-infrared range. The possibilities for its use in a neurological resuscitation department].
The potentialities of cerebral oximetry in the para-infrared band as a means of neuromonitoring are assessed. The method is highly informative for selecting the treatment strategy during the acute period of craniocerebral injury and cerebrovascular diseases. ⋯ Increase of rSO2 in increased intracranial pressure corresponds to brain hyperemia, its decrease to cerebral ischemia. A long trend of rSO2 changes is informative for disease prediction.