Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2012
Randomized Controlled Trial Comparative Study[Anesthetic maintenance during cochlear implantation in children].
Was carried out comparative analysis of the use of sevoflurane and propofol in anesthetic maintenance during cochlear implantation in 72 children in the age of 1-6 years. The results of the study showed that sevoflurane anesthesia is more secure and manageable in comparison with the propofol anesthesia.
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Anesteziol Reanimatol · Jan 2012
Randomized Controlled Trial Comparative Study[Intraoperative blood loss during acetabuloplastic in children under traditional and combined neuroaxial anesthesia].
In this study included 61 patients aged 3-8 years, undergoing Solter operation. Patients were randomized into 3 groups: 1st group-operative interventions were performed under traditional endotracheal anesthesia; 2nd group - under combined spinal anesthesia; 3rd group - combined epidural anesthesia and 4th group - combined spinal-epidural anesthesia. In comparison with the traditional anesthesia, intraoperative blood loss was significantly lower in the 2nd group by 36.8%, in the 3rd group by 31% and in the 4th group 34.5%. The volume and speed of intraoperational blood loss is not very dependent on the type of neuroaxial blockade.
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Anesteziol Reanimatol · Jan 2012
Comparative Study[Anesthesia during trachea intubation in newborns].
Evaluation of the effectiveness and safety of analgesics use before planned tracheal intubation in newborns. ⋯ Use of analgesics and muscle relaxants before planet tracheal intubation in full-term newborns creates favorable conditions for manipulation.
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Anesteziol Reanimatol · Jan 2012
Comparative Study[Peculiarities of the course of the postoperative period depending on the method of general anesthesia].
Through a series of tests (Mini-Mental State Examination scale, drawing clock test, the test for memory 10 words) carried on a study of cognitive functions in perioperation period in children aged from 6 to 10 years. There were examined 45 patients, undergoing short-term operational interventions in the clinic of urology. ⋯ As a result of the carried out research it is established, that the maximum changes of cognitive functions in perioperation period were in patients of the 3rd group, which held a combined general anesthesia with the use of sevorane, fentanyl, and subnarcotic doses of ketamine. This is confirmed by the obtained dynamics in carrying out the above-mentioned tests.
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Anesteziol Reanimatol · Jan 2012
Comparative Study[Postoperative nausea and vomiting in outpatient surgery in younger children].
The article deals with the problem of postoperative nausea and vomiting in ambulatory surgery in children. This complication is the most topical in children and can be dangerous in home, leading to serious consequences. The article considers the different causes of this complication, as well as the ways of prophylaxis and treatment. ⋯ At the second stage of the study was carried out feasibility assessment antiemetic therapy for children from 1 to 3 years. 20 children were receiving ondansetron, 20 - prevention has not been carried out. Analysis of the results showed that the frequency of nausea and vomiting in "ondansetron" group was in 4 times lower in comparison with metoclopramide. The frequency of postoperative nausea and vomiting occurrence in children aged 1 to 3 years significantly lower than in the age group of 3 to 5 years.