Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · Nov 2014
Randomized Controlled Trial[Effects of epidural anesthesia on stress-induced immune supression during major corrective spine surgery].
A prospective, randomized study wias performed to compare two anesthetic methods. ⋯ Polerfulr afferent stimulation in major corrective spine surgery accompanied by immunosuppression for at least a wieek after surgery. EA reduces the surgical stress response, prevents postoperative lymphocyte apoptosis and thus, increases stress and infectious resistance.
-
Anesteziol Reanimatol · Nov 2014
Randomized Controlled Trial[Effects of prolonged thoracic epidural analgesia on the frequency of postoperative atrial fibrillation in thoracic surgery].
Postoperative atrial fibrillation (POAF) has remained one of the most common complications that occur following non-cardiac thoracic surgery. Although it is dificult to determine the true incidence ofPOAF due to various methodologies used to identify its occurrence, reported rates have varied between 12 and 67%. The occurrence of POAF is associated with significant morbidity, such as increased risk ofstroke, atrial thrombosis and systemic mbolism, postoperative mortality, and significant increases in hospital length of stay and costs. ⋯ Postoperative thoracic epidural analgesia significantly decreases the frequency of postoperative atrial fibrillation in patients undergoing extended lungs surgery and most effective in patients undergoing lobectomy.
-
Anesteziol Reanimatol · Nov 2014
Clinical Trial[Efficiency of high-volume hemofiltration in patients with severe sepsis and intracranial hypertension].
We performed a retrospective study in 68 patients (144 procedures) with severe sepsis and intracranial hypertension measured by the pressure in the central retinal vein. The patients underwent high-volume hemofiltration (HV-HF) for extrarenal indications. ⋯ In this case, IHV-HF may be associated with the formation of the critical points of cerebral perfihsion and severe disorders of microcirculation and the lack of resolution of tissue hypoperfusion. In case of intracranial hypertension IHV-HF is not effective in the category of patients where there is a combination ΔpCO2 > 5.9 mm Hg level and GCS <10 points.
-
Anesteziol Reanimatol · Nov 2014
Review[Using recombinant activated blood coagulation factor VII for treatment of hemorrhagic syndrome in patients with thrombocytopenia].
The review deals with an analysis of the use of recombinant activated factor clotting VII (rFVIIa) for the treatment of hemorrhagic syndrome in patients with thrombocytopenia. The review discusses cases of rFVIIa use during bleeding of different localization and different invasive interventions, a frequency of thrombotic complications and causes of the rFVlIIa insufficiency.
-
Anesteziol Reanimatol · Nov 2014
Case Reports[Regional anaesthesia in women with morbid obesity in obstetrics and gynecology].
The article deals with regional anaesthesia peculiarities in womnen wiith morbid obesity in obstetrics and gynecology. The articles discusses cases demonstating safety and effectiveness of low-dose comnbined spinal-epidural anaesthesia in these patients.