Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2013
Comparative Study[Xenon and sevoflurane anti stress activity comparative assessment during elective anaesthesia in pediatric patients].
Research objective was to compare Xenon and Sevoflurane anti stress activities during elective anaesthesia in Pediatric patients. ⋯ Xenon and Sevoflurane have the same high anti stress activity However Xenon anaesthesia is characterized by more stable haemodynamics.
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Anesteziol Reanimatol · Jan 2013
Comparative Study[Haemodynamics during kidney transplantation and general anaesthesia in combination with epidural block and without it in pediatric patients].
To compare haemodynamic effects of general anaesthesia in combination with epidural block and without it during kidney transplantation in Pediatric patients. ⋯ regional ropivacaine epidural block and general anaesthesia combination provides more stable haemodynamic parameters than general anaesthesia single use.
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Anesteziol Reanimatol · Jan 2013
[Modes of mechanical ventilation during transferring the patient to spontaneous breathing].
Mechanical ventilation (MV) has become a general treatment in the intensive care unit in recent years. Mechanical ventilation is a resuscitation treatment; however MV causes many implications therefore it is to be finished as soon as the patient's condition begins improve. Modern transferring the patient to spontaneous breathing decreases implications number. ⋯ Many ventilation modes have introduced in clinical practice through the microprocessor technologies development. Supporting ventilation modes help to avoid some adverse effects of mechanical ventilation. The article deals with historical approaches development their advantages and limitations.
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Anesteziol Reanimatol · Jan 2013
[Modern approach to the neuromuscular blocking agents use in pediatric patients].
Myorelaxants use decrease trend appeared since the end of 80 years of the 20th century. The trend is connected with use of the new narcotic analgesics (Remifentanil), intravenous (Propofol) and inhalation (Sevoflurane) anaesthetics. These drugs are manageable and predictable, they have not many side effects and can suppress laryngeal-pharyngeal reflex during the tracheal intubation. ⋯ As a result the patient's activation is delayed. Nevertheless myorelaxants use refusal impairs the tracheal intubation conditions, increases the arterial hypotension and heart failure risk especially in newborns and children with severe pathology. If myorelaxants is not used, comfortable conditions of surgical manipulations impossible without big analgesics and anaesthetics doses use.
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Anesteziol Reanimatol · Jan 2013
[Peripheral regional block role in orthopedics in pediatric patients with cerebral palsy].
Haemodynamics of 58 Pediatric patients with cerebral palsy was studied during combined anaesthesia based on sevoflurane and peripheral nerve block. Sevoflurane and peripheral nerve block with infusion support 14-15 ml/kg/ hr provide stable cardiac output during orthopedic surgeries in Pediatric patients with cerebral palsy. Excessive arterial hypotension and total peripheral vascular resistance decrease were registered in older patients as results of more pronounced vascular effect of anaesthetics in patients with decreased adaptive-compensatory possibilities and insufficient infusion support. The proposed anaesthesia method provides adequate intraoperative analgesia, fast recovery and comfortable postoperative period.