Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 2000
[An evaluation of the circulatory indices and of the blood oxygen-transport function in relation to the level of endogenous intoxication in patients with abdominal sepsis].
Septic shock in the presence of abdominal sepsis is one of the main cases of death of surgical patients. Hemodynamics was studied by impedancometry in 46 patients with abdominal sepsis. Hemodynamic changes and oxygen transporting function of the blood correlated with the severity of endogenous intoxication. Erythrocyte adsorption capacity was regarded as endogenous intoxication marker.
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Anesteziol Reanimatol · Mar 2000
Review Comparative Study[The need and outlook for alkalizing therapy in cardiopulmonary resuscitation].
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Anesteziol Reanimatol · Mar 2000
Comparative Study[Multiple-organ pathology in septic shock in patients with hemoblastoses].
A prospective study of 20 patients with hemoblastosis and septic shock (SS) was carried out by invasive monitoring of the central hemodynamics and oxygen transport, evaluation of biochemical and coagulological parameters, and assessment of the severity of clinical condition by the APACHE II and SOFA scores. Septic shock was effectively treated in 12 patients, 5 of them were discharged from the department (group 1) and 7 died in intensive care wards from various complications (group 2). Eight patients died during the first 2 days from SS resistant to therapy (group 3). ⋯ Hence, the need in prolonged cardiovascular support of SS patients is associated with development of polyorgan involvement. Fibrinolysis suppression is a frequent early manifestation of hemostasis disorders. Specific neoplastic organ involvement was observed in 61.5% patients with hemoblastosis who died from SS and its complications.
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Anesteziol Reanimatol · Mar 2000
[Total intravenous anesthesia based on propofol infusion with target concentration: a new procedural solution].
Total intravenous propofol anesthesia with target control (TCI) infusion was used in 61 surgical patients (43 women, 18 men, ASAI-II). Propofol concentration in the central compartment at awakening was in high correlation with the effective concentration (Ce) at the moment of falling asleep (r = 0.64). ⋯ Propofol TCI in a dose of 2 micrograms/ml led to an increase in the EEG spectral potency in the 1-12 Hz range, appearance of biomodality, and a decrease in the right-side frequency. The studies helped determine the policy of intravenous propofol TCI anesthesia using the Ce values at the moment when the patient lost consciousness and the right-side frequency of EEG spectrum.