Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2009
[Microemboli as a cause of postoperative deliria and cognitive disorders in surgical practice].
Analysis of contemporary clinical and experimental studies evidences that intraoperative microemboli considerably contribute to the development of postoperative deliria and cognitive disorders. A number of studies have shown that left temporal and occipital structures are especially vulnerable to intraoperative ischemia. It is important that neurological cases of ischemia of the former brain regions are frequently characterized by transient psychoses and hypomnesia. Approaches to preventing intraoperative microembolism and associated neurological complications need further research.
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Anesteziol Reanimatol · May 2009
[The Foundation for European Education in Anesthesiology (FEEA): the first steps in Russia].
The mission, structure, and working schedule of the Foundation for European Education in Anesthesiology (FEEA), an international non-profitable organization with 70 regional centers in Europe, Central and South America, Africa, and Asia, which are organized in 2006-2007 in Saint Petersburg by the Association and Society of Anesthesiologists and all the Anesthesiology Departments of the city are given. Today's geography of FEEA, dedicated to ESA diploma (DESA) exam training, is expanding in Russia.
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Anesteziol Reanimatol · May 2009
[Infectious safety in neurosurgical patients. The specific features of infectious complications in patients with subtentorial tumors, their diagnosis and treatment].
The paper analyzes the incidence of the major infectious complications (regional and systemic) developing in neurosurgical patients (3630 patients with neurosurgical diseases and 872 with abnormalities of the posterior cranial fossa (PCF)) in the postoperative period after removal of subtentorial tumors. Regional pyoseptic complications are shown to occur in patients with PCF abnormalities three times more frequently. The basic diagnostic and therapeutic approaches to pyoseptic complications in neurosurgical patients are also considered.
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Anesteziol Reanimatol · May 2009
[The problem of a patient's safety in neuroanesthesiology (lecture)].
The paper analyzes the problem of a patient's safety during neurosurgical interventions. The considered complications occurring in the perioperative period are divided into specific and nonspecific to neurosurgery. General and partial complications are identified among the specific ones. These and those complications, their diagnosis, therapy, and prevention are considered briefly.