Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2007
[Assessment of a hypnotic component on the basis of BIS monitoring during balanced anesthesia in children].
The hypnotic components of balanced anesthesia under regional anesthesia were estimated in 60 children during operations on the limbs and urogenital area. BIS monitoring was to assess the grade of sedation. ⋯ The optimal BIS index for moderate sedation was 40-60 units. Among all the types of balanced anesthesia, sevoflurane-based anesthesia was most effective.
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Anesteziol Reanimatol · Jan 2007
[Anesthesia recovery period after anesthesia with ketamine and propofol during minor surgery in children].
Forty-eight children aged 4 to 15 years, with an ASA I-II physical status, were examined. The patients underwent short mini-invasive surgical interventions under intravenous anesthesia using ketamine and propofol. ⋯ The changes in the parameters were identical in both groups. The specific features of the course of emergence from propofol-ketamine anesthesia require that the patients should be postoperatively observed.
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Anesteziol Reanimatol · Nov 2006
Review[Alveolar mobilization maneuver (recruitment): solved and unsolved problems].
Acute respiratory distress syndrome (ARDS) is a common complication in patients with critical condition. Studies of pathophysiological changes in the lung in this condition give rise to new methods of respiratory therapy, one of which is alveolar mobilization maneuver (recruitment). This procedure considerably improves oxygenation in patients with ARDS, but at the same time, there is a risk of developing various complications (barotraumas, lowered cardiac output). Further studies of the efficiency of this method and development of well-defined clinical guidelines that will be able to answer the most important questions: "who", "when", and "how" the alveolar recruiting maneuver should perform are currently under way.