Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2000
Review Comparative Study[Immunological aspects of postoperative sepsis].
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Anesteziol Reanimatol · Jan 2000
Comparative Study[Reaction of the sympathoadrenal system in young children with congenital heart defects during cardiopulmonary bypass surgery].
Reactions of the sympathoadrenal system were studied during surgical interventions in children aged 1.5-3 years with congenital heart disease operated under conditions of artificial circulation and hypothermia. The state of the sympathoadrenal system was different in uneventful and complicated course of the operation, which may indicate a different efficiency of the neurovegetative blocking and antistress protection from surgical trauma.
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Anesteziol Reanimatol · Jan 2000
Comparative Study[Experience in the use of propofol in surgical interventions in children].
The adequacy of anesthesia with propofol is evaluated in 48 children aged 3 months to 7 years (ASA I-III) subjected to abdominal and urological interventions. The children were divided into groups administered different general anesthesias: 9 children aged 3-7 years operated under total intravenous anesthesia (TIVA) with propofol and fentanyl and 39 children aged 3 months to 6 years operated under TIVA with propofol, ketamine, and fentanyl. ⋯ TIVA with propofol, fentanyl, and ketamine did not notably decrease arterial pressure during induction; the course of anesthesia and recovery ran a smooth course; the doses of propofol and fentanyl were appreciably decreased. Use of this protocol in children aged under 3 years ensured adequate anesthesia with the minimum risk of hemodynamic disorders.
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Anesteziol Reanimatol · Jan 2000
Comparative Study[Comparative characterization of changes in visual perception after ketamine and brietal anesthesia in children].
Visual perception is disordered in children aged 10-15 years subjected to surgery under ketamine and brietal anesthesia in an outpatient setting. Psychological testing was carried out during 24 h after intervention. ⋯ Visual perception did not normalize 24 h after both anesthesias. Disorders typical of each drug persisted.
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Anesteziol Reanimatol · Jan 2000
Comparative Study[State of the sympathoadrenal system and hemodynamics in children during congenital heart defect surgery with high thoracic epidural anesthesia using lidocaine-clofelin].
Effects of high thoracic epidural anesthesia (HTEA) on the hemodynamics and sympathoadrenal system were studied in patients during cardiopulmonary bypass surgery. In 55 patients aged 1-14 years, HTEA was used in combination with oxygen-air-halothane anesthesia. ⋯ In the control, standard intravenous fentanyl-diazepam anesthesia was combined with oxygen-air-halothane anesthesia. In the clonidine-lidocaine group the endocrine stress response was decreased in comparison with other groups even without narcotics; hemodynamics was stable even in patients with NYHA class III-IV.