Anesteziologiia i reanimatologiia
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Effective therapy of chronic frequently recurring pain is a complex important problem from practical medical, social, and economic viewpoints. Organization of specialized "pain clinics" and pain control centers is discussed. These institutions will take care of patients with chronic pain syndromes. ⋯ The authors offer recommendations on the use of traditional and nontraditional methods of pain relief. New highly effective integrative diagnostic methods (computer pulsometry) and therapies (resonance electropuncture analgesia and therapy) are used in various pain syndromes, including chronic frequently relapsing, which are usually resistant to common methods. Integrative methods of clinical reflex therapy create conditions for replacing traumatic surgical and radiological methods used in the treatment of critically ill patients by methods of integrative medicine.
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Anesteziol Reanimatol · Sep 2000
Comparative Study[Autonomic reactivity and intraoperative arterial hypertension in patients with ischemic heart disease].
As patients with ischemic heart disease (IHD) may develop intraoperative hypertensive and hyperdynamic reactions provoking myocardial ischemia, the authors estimated reactivity of the autonomic nervous system before giving anesthesia. This was made for prediction of intraoperative hypertensive reactions and choice of an optimal anesthesia variant. Combination of spectral analysis of variability of the heart rhythm and active orthostatic test was employed for this purpose in 50 IHD patients undergoing myocardial revascularization.
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Anesteziol Reanimatol · Sep 2000
Comparative Study[Analysis of complications and the problem of airtightness of the respiratory contour during the use of laryngeal masks in children].
Feasibility of adequate gas exchange in artificial lung ventilation (ALV) through laryngeal mask (LM) is investigated in view of high occurrence of leakage of the respiratory contour. Adequate anesthesiological techniques of LM usage are proposed. It is shown that airtightness at the site of LM cuff contact with the upper larynx is not complete. The magnitude of respiratory mixture loss in audible leakage permissible for adequate ventilation and gas exchange is estimated.
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Anesteziol Reanimatol · Sep 2000
Case Reports Comparative Study[Continuous epidural infusion of ropivacaine in the postoperative period].