Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2009
Multicenter Study[Estimation of the validity of pediatric severity rating scales in multidisciplinary children's intensive care units].
The aim of this study was to estimate the validity of pediatric severity rating scales at general pediatric intensive care units. This was a prospective, observational multicenter study that was performed from November 1, 2007, to January 31, 2008. The end points were the estimation of the severity of disease, by using the PRISM, PIM II, RELOD scores, and 28-day survival. ⋯ The calibration of scores according to the intervals of mortality risk (Hosmer-Lemeshov test) showed that the observed and predicted mortality rates were similar for PIM II scores (chi2 = 8.23; p = 0.084) and were different for PRISM scores (chi2 = 203.5; p < 0.001) and PELOD ones (chi2 = 26.16; p < 0.001). Thus, the PIM II scores showed the best validity. PRISM and PELOD can be used to estimate the severity of disease in individual subgroups of high mortality-risk patients.
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Anesteziol Reanimatol · Jan 2009
Clinical Trial[BIS-monitoring of sedative therapy of children in intensive care units].
The depth of sedation was studied in children at intensive care units. Sixty-five children aged 4 to 14 years who had severe purulent abdominal processes and somatic diseases were examined. The depth of sedation was recorded by BIS monitoring and the Ramsey clinical sedation scale was used to make a clinical evaluation. ⋯ Midazolam was given in Group 3. There were differences when these agents were administered. The depth of sedation was found to depend on the given dose of an agent.
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Anesteziol Reanimatol · Jan 2009
Clinical Trial[Evaluation of the efficacy of paracetamol as a component of postoperative combined analgesia in children].
Postoperative pain is one of the most serious problems in patients who have undergone surgical interventions. The paper analyzes the efficiency of various postoperative analgesia regimens in children and shows the high efficiency of paracetamol as a component of combined anesthesia in the postoperative period.
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Anesteziol Reanimatol · Jan 2009
Clinical Trial[Efficiency of pre-emptive analgesia using ketoprofen in a program of combined regional anesthesia in pediatric orthopedics].
It is difficult to make an objective assessment of postoperative pain in children so anesthetic methods must ensure prolonged effective analgesia. The study was undertaken to determine the efficiency and duration of analgesia when using ketoprofen in a combined regional anesthesia (CRA) program in children aged 13 to 15 years who had correctable supracondylar osteotomy of the hip. Preference is given to preventive parenteral administration of ketoprofen. Comparative assessment of intra- and postoperative monitored variables and needs for postoperative analgesia in the traditional CRA (n = 10) and preventive ketoprofen (n = 10) groups indicated a significant increase in the duration of postoperative analgesia when ketoprofen was used.