Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 2015
Randomized Controlled Trial[COMPARISON OF THE EFFECTIVENESS OF ILIOINGUINAL-ILIOHYPOGASTRIC BLOCKADE AND TRANSVERSUS ABDOMINIS PLANE BLOCK FOR ANALGESIA AFTER CESAREAN SECTION].
In this prospective randomized study we compared the analgesic efficacy of the ilioinguinal-iliohypogastric nerves block and transversus abdominis plane block for analgesia after caesarean delivery performed by suprapubic laparotomy. The study includes 164 healthy women with ASA status I-II class, undergoing elective surgery under spinal anaesthesia. During the first postoperative hour patients in the "block's" groups received ultrasound-guided blocks of the anterior abdominal wall with ropivacaine 100 mg both. ⋯ Patients were monitored for visual analogue scale (VAS) scores at rest and during movement (at 3, 6, 9, 12 and 24 hours after surgery), concentration of the cortisol and glucose were measured, and consumption of the tramadol and its adverse effects were controlled. We concluded that both blocks improve postoperative analgesia after caesarean delivery. The Ilioinguinal-iliohypogastric block showed greater efficacy than the transversus abdominis plane block.
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Anesteziol Reanimatol · Mar 2015
Clinical Trial[AIRWAY MANAGEMENT IN CHILDREN DURING RESECTION OF THE TONSILS].
We conducted a comparative evaluation of anesthesia used during tracheal intubation with and without the application of muscle relaxants in cases of adenotonsillectomy in children. Intubation parameters were evaluated according to Cormack-Lehane scale; the presence of cough reflex, limb movement, laryngospasm and desaturation during intubation was also taken into account. The presence of cough, husky voice, and complaints of pain in the throat were recorded in the monitoring report after extubation. We used the MOPS scale to evaluate postoperative pain and discomfort in children. ⋯ Thus, the method of tracheal intubation without the use of muscle relaxants can be used for adenotonsillectomy in children.
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Anesteziol Reanimatol · Mar 2015
[ASSESSMENT OF EXTRAVASCULAR LUNG WATER BY QUANTITATIVE COMPUTER IMAGE ANALYSIS IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME].
To evaluate the possibility of quantitative computed tomography (CT) of the lungs in patients with acute respiratory distress syndrome (ARDS) for assessment of the severity of the condition and the effectiveness of treatment. ⋯ Quantitative analysis of CT reveals changes in the mass and volume of the lungs and can be used to diagnose and evaluate the effectiveness of the treatment. Pulmonary weight calculated by CT correlates with EVLW determined by TTD.
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Delirium in the intensive care unit is a frequent and serious complication, significantly worsens the prognosis of the underlying disease. Diagnoses that assign patients with delirium include an acute encephalopathy toxic encephalopathy, resuscitation psychosis, and this is an incomplete list. Thus, delirium is apparently not a separate disease, is more likely that this is a symptom of central nervous system polyethiological inherently. ⋯ There are no specific methods for the prevention of delirium, but the observance of some simple rules can prevent its development. We should treat the disease, which has led to the appearance of delirium symptoms. For relief discussed the state recommended that a mild sedative non-benzodiazepine drugs (dexmedetomidine better) with a daily assessment of the level of consciousness.
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Anesteziol Reanimatol · Mar 2015
[SPECIFICS OF INHALED ILOPROST PHARMACODYNAMICS IN PATIENTS WITH SEVERE LEFT VENTRICULAR SYSTOLIC DYSFUNCTION].
To determine the specifics of inhaled iloprost effect on pulmonary and systemic hemodynamics in patients with pulmonary hypertension (PH) associated with left ventricular systolic dysfunction. ⋯ Inhaled iloprost caused significant changes in systemic hemodynamic when was used in patients with severe LV systolic dysfunction. Favorable changes in the left ventricle preload and after- load naturally increased its performance and decreased PCWP.