Anesteziologiia i reanimatologiia
-
One of the central problems of zenon anesthesia is evaluation of its adequacy. The bispectral index (BIS) is estimated empirically on the basis of electroencephalograms of patients treated with vapor-forming anesthetics. We investigated clinical and electrophysiological parallels of xenon monoanesthesia by using the EEG bispectral index. ⋯ Electrophysiological parameters were stable during maintenance and corresponded to the depth of anesthesia. Hence, monitoring of BIS and SEF-95 provides for an adequate control of anesthesia, while during induction and awakening the values of these indices are doubtful. The incorrectness of EEG BIS at these stages of Xe anesthesia is due to specific electrophysiological mechanisms of Xe, affecting mainly HMDA and H-cholinergic receptors of the CNS.
-
Anesteziol Reanimatol · Jan 2003
[Optimization of anesthesiological management of reoperations in patients with renal transplant].
Tasks of anesthesiology support of reoperations in patients with renal allografts are determined; a classification of reoperations is offered. Vital functions in patients subjected to reoperations are evaluated. A method of anesthesia for various types of reoperations is suggested.