Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · Jan 2015
Randomized Controlled Trial[Comparison of sedation with dexmedetomidine and haloperidol in patients with delirium after femoral neck fractures].
Delirium seriously complicates the recovery period after surgery, injury and increases mortality in elderly patients with femoral fractures. ⋯ We examined 80 geriatric patients admitted to the Institute of Traumatology and Orthopedics in Astana in the period from September 2012 to June 2014. We evaluated the efficacy of dexmedetomidine and haloperidol sedation according to RASS, communication ability and level of tolerance of procedures. The effect of dexmedetomidine was better and was expressed 30.3% decreasing of the duration of delirium in comparison with haloperidol (p < 0.05). Overall assessment of the ability of patients to the interaction, cooperation and tolerance of procedures evaluated by nurses, was higher in the dexmedetomidine group compared with haloperidol, as well as evaluating the effectiveness of individual communication and cooperation (8.3 ± 2.3 points vs 4.5 ± 1.9 points, p < 0.05). Despite the development of bradycardia in a small number of patients, as well as headaches and nausea after stopping the infusion, dexmedetomidine provided a more controlled and safe sedation compared with haloperidol.
-
Anesteziol Reanimatol · Jan 2015
[Predicting of postoperative pain level and morphine consumption by preoperative pressure pain assessment in patients before elective surgery].
The aim of this study was to predict a postoperative pain severity and morphine consumption by preoperative pressure pain assessment. ⋯ Post-operative pain severity during movement at 1st postoperative day can be predicted with the pre-operative pain tolerance using the pressure algometry. There is significant moderate negative correlation between pre- operative pain tolerance and post-operative morphine consumption by PCA device in patients at 1st postoperative day.
-
Anesteziol Reanimatol · Jan 2015
[Effect of prolonged epidupal analgesia on respiratory function after major laparoscopic surgery].
The article deals with a study of role of epidural analgesia, used as a part of intra- and postoperative analgesia in patients underwent major laparoscopic surgery (gastric resections, pancreas and duodenal resections, hemicolectomy, resections of colon). ⋯ major laparoscopic surgery accompanied with lower decreasing of speed and volume figures of spirometry if epidural analgesia is used as a part of intra- and postoperative analgesia.
-
Anesteziol Reanimatol · Jan 2015
Clinical Trial[Dexmedetomidine as a part of analgesic component of general anesthesia for laparoscopic operations].
The article deals with a study of efficacy and safety of the dexmedetomidine as an analgesic adjuvant drug for anaesthesia during laparoscopic gynecological and abdominal surgeries. Patients and methods: 32 patients received intraoperative infusion of dexmedetomidine. We assessed an effects of dexmedetomidine on data of central circulation during surgeries. ⋯ The use of dexmedetomidine allows to decrease an amount of opioid analgesics, inhalation anaesthetics and to avoid severe changes of circulation during traumatic phases of surgeries.
-
Anesteziol Reanimatol · Jan 2015
[Background and perspectives of opioid analgesics for the treatment of chronic pain in cancer patients in Russia].
The article deals with an analysis of availability of narcotic analgesics for the patients in the Russian Federation. The analysis was based on datafrom official sources on the scopes of opioids delivery in different regions of the Russian Federation and showed an extremely limited availability of narcotic analgesics for the patients in the Russian Federation. We found that availability of narcotic analgesics in Russia is hundreds times lower than the same indexes in European countries with various level of economic activity and in the USA. ⋯ Drugs from this list can be effectually used for the chronic pain therapy in oncology. The most advanced drugs that are soon will be produced are also named. The article describes high priority measures that have already been done to improve current situation and measures to be executed in the future.