Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 2010
Clinical Trial[Comparative assessment of various general anesthesia methods during reconstructive operations on the carotid arteries].
Total intravenous anesthesia with diprivan and inhaled sevoflurane was assessed in 130 patients undergoing carotid endartectomy. The parameters of hemodynamics and cerebral circulation and the markers of brain lesion were studied. Sevoflurane anesthesia was shown to induce less depression of hemodynamic parameters and to maintain the more optimal level of cerebral circulation, limiting brain ischemic and reperfusion lesions and causing a fewer number of postoperative complications.
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Anesteziol Reanimatol · Mar 2010
Clinical Trial[Anesthetic maintenance during circular face lifting].
The paper deals with the specific features of anesthetic maintenance (ketamine, diprivan, dormicum, perfalgan, promedol) during circular face lifting without artificial ventilation. All intravenous anesthesia procedures have yielded good results. ⋯ The use of perfalgan causes no hallucinogenic reactions and offers the optimum level of anesthesia. During face lifting, 2.3 +/- 0.6-hour anesthesia with spontaneous breathing is possible, safe, and warranted.
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Anesteziol Reanimatol · Mar 2010
Case Reports[Acute intracranial hypertension during xenon anesthesia in a patient with a giant brainstem tumor and cerebrospinal fluid flow obstruction: a case report].
Today there are prospects for the wide use of xenon for anesthesia or analgesic sedation in neurosurgical patients, but clinical trials of and experience in using the agent in neurosurgery are scanty. The paper reports the first case of acute intracranial hypertension during xenon anesthesia in a patient with a giant brain base tumor and cerebrospinal fluid flow obstruction in the presence of subcompensated intracranial hypertension. Comparison of intracranial pressure, blood pressure, cerebral perfusion pressure, and linear blood flow velocity suggests the nature of the effect of xenon on cerebral vascular tone, cerebral blood flow, and its autoregulation. Based on the findings, the authors discuss whether xenon may be used in patients with intracranial hypertension.
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Anesteziol Reanimatol · Mar 2010
[Changes in brain bioelectrical activity during xenon anesthesia in neurosurgical patients].
Xenon is a promising anesthetic agent in neurosurgery. However, there is now little evidence on the effect of xenon at anesthetic concentrations on brain electrical activity, which limits its use in neurosurgical patients. ⋯ Xenon did not induce paroxysmal activity. The findings suggest that the use of xenon anesthesia in neurosurgical patients is safe in terms of its impact on brain bioelectrical activity.