Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jul 2012
Case Reports[Myorelaxation tactic with sugammadex in surgery with neurophysiological monitoring].
The case contains description of spinal intramedullary tumor removal with neurophysiologic monitoring. It required well controlled neuromuscular blockade. For this purpose anesthesiologist used sugammadex, specific antagonist of steroid neuromuscular blocking agents.
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Anesteziol Reanimatol · Jul 2012
[PO.1 index as a predictor of successful extubation in patients after posterior fossa tumors removal].
The goal of the study was to assess the clinical value of PO. 1 index for prognosis of successful weaning from mechanical ventilation in patients after posterior fossa tumors removal. 25 patients were involved in the study. 15 patients were successfully extubated in 24 hours time after surgery and 10 patients had prolonged mechanical ventilation. PO. 1 indexes in both groups were assessed and compared. ⋯ In successfully extubated patients the elevation of PO. 1 index during spontaneous breathing test was noted In the second group there was no such an effect. Elevation of PO. 1 index during spontaneous breathing test predicted successful extubation with 100% sensitivity and 80% specificity.
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38 patients after spinal surgery were involved in the study. Patients were divided into two groups similar by anthropometric factors, pathology and preoperative pain syndrome. The first group included 15 patients older than 60 years (mean age 66 +/- 5.77 years), second group--23 patients younger than 60 years (mean age 43 +/- 10.7 years). ⋯ Duration and depth of anesthesia, episodes of hypotension are main predictors of POCD. Maintenance of optimal depth of anesthesia defined by BIS monitoring decreases the frequency of POCD. Patients of all ages with chronic pain syndrome usually have memory and attention disturbances.
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Anesteziol Reanimatol · Jul 2012
[Intracranial, cerebral perfusion pressure and systemic hemodynamic parameters during anesthesia induction in patients with traumatic brain compression].
The study reports the dynamic of ICP, CPP and systemic hemodynamic rates during midazolam induction of anesthesia in patients with traumatic brain compression. Patients who need urgent surgery to eliminate brain compression of various degrees generally have intracranial hypertension. ⋯ Depolarizing neuromuscular blocking agents' administration, mechanical ventilation and tracheal intubation lead to ICP elevation and CPP decreasing. The combination of midazolam and fentanil provides more reliable protection from hypertensive reactions.