Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2008
Randomized Controlled Trial Comparative Study[Comparative analysis of the efficiency and safety of different types of neuroaxial blocks during total hip replacement].
The paper presents the results of a prospective randomized study in 108 elderly patients undergoing total hip replacement under different neuroaxial blocks. The characteristics of sensory and motor blocks, hemodynamic changes, and a need for infusion and sympathomimetic support under epidural, spinal, and unilateral spinal anesthesia were comparatively assessed.
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Anesteziol Reanimatol · May 2008
[Clinical significance of the parameters of a systemic inflammatory response, leukocytic intoxication index, and procalcitonin test in the diagnosis of pyodestructive pyelonephritis of pregnant women].
The clinical significance of the parameters of a systemic inflammatory response, leukocytic intoxication index, and procalcitonin test were studied in 63 patients with pyodestructive pyelonephritis of pregnant women. The blood concentration of procalcitonin was measured in 15 patients, by using the semiquantitative analysis. The authors revealed the high sensitivity and specificity of the method and the high prognostic value of positive results and the low frequency of false-positive results for procalcitonin and the leukocytic index of intoxication.
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Anesteziol Reanimatol · May 2008
Clinical Trial[Efficiency of using gelofusine and voluven in acute normovolemic hemodilution during cardiosurgical interventions].
The aim of the study was to assess the use of gelofusine and voluven for acute normovolemic hemodilution at cardiac surgery under extracorporeal circulation (EC). Sixty-seven patients with coronary heart disease were examined. ⋯ The administration of gelofusine caused a more steady-state oxygen-transport function of the circulatory system. The use of the agent for acute normovolemic hemodilution at cardiac surgery under EC is more economically justified than that of volumen.
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Anesteziol Reanimatol · May 2008
[The first experience of using sevorane in the Ikrutsk Cardiosurgical Center].
An anesthetic mode used during operations under extracorporeal circulation was comparatively analyzed in children operated on for congenital heart diseases. The preference of inhalational anesthesia using the anesthetic sevorane was revealed. The use of the anesthetic reduced the need for opioid analgesics and activated patients in the early postoperative period.
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Anesteziol Reanimatol · May 2008
[Main points of a modular approach to developing educational programs for the postgraduate training of physicians in the area of anesthesiology and reanimatology].
The uniquely shaped and contained structure of a modular approach to organizing an academic process, which comprises a conceptual rationale for the conversion of an educational process in accordance with a modular design, is detailed in the paper. All learning modules have the similar structure consisting of the following sections: background, general and specific objectives, contents, methods of teaching and assessment, the place and conditions of training. The authors provide evidence for the use of a module as a form of organization of individual educational programs, curricula, and academic plans of subject-matter during postgraduate training of physicians. ⋯ The development of educational modules is to eliminate parallelism, temporary and logic gaps between various topics, to upgrade the quality of education, and to enhance the efficiency of a medical specialist's self-work. The authors analyze in detail the advantages of the module approach in improving an academic process during postgraduate training of physicians. They also present guidelines for the introduction of module technology in accordance with the principles of the European educational system.