Anesteziologiia i reanimatologiia
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Desflurane (Des)--is a modern inhalation anaesthetic available in Russia since August, 2013. Des is a halogenated ether; its chemical structure is 2-difluoromethoxy-1-1-1-2-tetrafluoroethane (C3H2F6O). Special thermocompensated evaporators are used for Des dosing. ⋯ Des has more positive qualities and fewer limitations, than other inhalation anaesthetics (halothane, isoflurane, sevoflurane). High cost of the anaesthetic is compensated by quality and controllability of anaesthesia and reduction of stay time in recovery unit. Fast elimination of the anaesthetic from a body allows reducing a frequency of complications connected with violation of upper airway and hypoxemia, promotes early discontinuation of artificial ventilation, reducing somnolence, earlier restoring a muscular tone in the postoperative period.
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Anesteziol Reanimatol · Jan 2014
Case Reports[Tactics of tracheal intubation in patient with tumor of the tongue base].
Anatomic deformations can cause complications during the tracheal intubation in the maxillofacial surgery and otorhinolaryngology. The article deals with a clinical case of tracheal intubation in a patient with the anatomic deformations. Successful tracheal intubation was performed in the patient in conditions of conscious and spontaneous breathing under the local anaesthesia, when a fibreoptic bronchoscopy was not available. Furthermore the article briefly discusses techniques of the tracheal intubation in conditions of anatomic deformations of the upper airways and methods of local anaesthesia for the guttur and hypopharynx.
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Anesteziol Reanimatol · Jan 2014
Multicenter Study[Effect of preoperative infusion volume on frequency of intraoperative nausea and vomiting as complications of spinal anaesthesia in pregnant women during caesarian operation (pilot study)].
Purpose of the study was to define a prophylactic effect of different preload volumes on the rate of intraoperative nausea and vomiting (IONV) as a complication due to spinal anaesthesia (SA) during caesarian operation (SO) in parturient. Data for analysis was collected during clinical observational multi-center research included several medical centers. ⋯ The results suppose that preload is effective method of IONV prophylactics in parturient during SO under SA if only infused preload volumes do not break specially determined limits of effective interval. If preload volume value is out of this range then preinfusion may lead to increasing risk of IONV occurrence.
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Anesteziol Reanimatol · Jan 2014
Comparative Study[Prophylaxis of intraoperative nausea, vomiting and abdominal discomfort due to spinal anaesthesia for caesarian operation].
The article deals with data of comparison of different antiemetic drugs used for prophylactics of intraoperative nausea and vomiting (IONV) during caesarian operation. 150 women included in the study were divided into three groups. Patients of the group-1 (80 women) received dproperidol 0.08-0.12 mg kg(-1) intravenously and atropine 0.006-0.009 mg kg(-1). ⋯ In the group-3 (20 women) patients received methoklopramide 0.1-0.2 mg kg(-1) intravenously. Intravenous administration of low doses of atropine and dproperidol provides the most effective prophylactics of IONV.
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Anesteziol Reanimatol · Jan 2014
Randomized Controlled Trial[Epidural analgesia in the first stage of labor--is there an alternative?].
To evaluate the influence of epidural analgesia and lumbar paravertebral block on the structure of the delivery, the fetus and newborn, and the quality and duration of analgesia. ⋯ The proposed lumbar paravertebral block is simple to perform, is effective in reducing pain in the first stage of labor does not require continuous hemodynamic monitoring may be used for the treatment of birth dystocia and is a good alternative when the use of epidural analgesia during labor is limited.