Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Nov 2011
Randomized Controlled Trial Comparative Study[Comparison of analgesics using two devices for the patient-controlled analgesia].
The patient-controlled analgesia with two devices allows to compare analgesic agent and to regulate quantity and quality of multimodal analgesia compounds. The aim of the study is to compare efficiency of analgesic agents in method of patient controlled analgesia with two devices. ⋯ Most of patients who received morphine and placebo can determine the analgesic agent. Second group of patients choose both analgesic agent equally often. Comparative assessment of analgesics, by employing 2 PCA apparatuses in one patient, allows evaluate the efficiency of analgesics added to the conventional methods.
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Anesteziol Reanimatol · Nov 2011
Comparative Study[Comparison of various techniques of spinal anesthesia in day surgery].
Clinical effects of various techniques of spinal anesthesia in day surgery were studied. Duration of anesthesia, time of block beginning, the spread of sensor and motor block was assessed. The episodes of hypotension were associated with one side spinal anesthesia. In a group with Suddle block the blood pressure was normal as well as hemodynamic those patients had no need of intravenous fluid therapy or other drugs.
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Anesteziol Reanimatol · Nov 2011
Randomized Controlled Trial Comparative Study[Spinal anesthesia with various anesthetic agents due to endoscopic urological procedure in patient over 60 years old].
Aim of the study is to compare efficiency and safety of method of spinal anesthesia with isobaric bypivacain (5 mg/ml) and ropivacain 5 (mg/ml) during performing transurethral resection of the prostate in patients over 60 years old. Methods 38 patients (68-82 years old ASAII-ASAIII) with hyperplasia of prostate gland were examined in randomized clinical study. Two methods of anesthetic management were compared. ⋯ Hemodynamic and condition of vegetatic homeostasis in both groups were almost equal but analyzed data presented that ropivacain (5 mg/ml) influenced hemodynamic less. Results of retrospective study demonstrates that it is safer to use isobaric ropivacain (5 ml/mg) in elderly patients for spinal anesthesia in 1.5 times p = 0,007). In conclusion spinal anesthesia with isobaric bypivacain (5mg/ml) more efficient because of duration and time of development of neuroaxial block on the other hand isobaric ropivacain 5 mg/ml is safer to use in patients older than 60 years old.
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The treatment of chronic non-malignant pain is actual medical problem. Varies clinical symptoms and absents of treatment standards make those problems very difficult to manage. We presented basic concept of chronic pain and multidisciplinary stages of treatment.
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Anesteziol Reanimatol · Nov 2011
[Common unsolved anesthetic problems of reconstructive maxillofacial surgery].
Anesthesia for facial skeleton surgery has been studied. Mane concerns for maxillofacial surgery were difficult airways management, poorly controlled bleeding, difficult monitoring of several components of anesthesia, duration of surgery.