Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2004
[Elaboration and introduction of an algorithm of rendering the anesthetic-and-resuscitation care to a big number of wounded person in terrorist attacks].
Medical records of 320 persons, who were injured in terrorist attacks in 1999-2003, were analyzed. The main errors in rendering the anesthetic-and-resuscitation care were pointed out. An algorithm of actions is elaborated for the anesthesiologist working at the reception, surgical and intensive care departments of a hospital. Owing to the mentioned algorithm, the lethality rate of wounded persons dropped from 18 to 10%.
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Anesteziol Reanimatol · May 2004
[Monitoring of analgesia and amnesia during the general anesthesia in surgeries made on the lungs].
Somatosensorially evoked and auditorially evoked potentials (SSEP and AEP) were evaluated in 75 patients in different stages of general anesthesia during surgical procedures made on the lungs. N19-P23 latent increases of SSEP denoted an adequate level of analgesia. The AEP evaluation is recommended for monitoring the amnesia status during general anesthesia. N1 depression, long-latent N2 and P300 as well as disappearance of AEP and intracerebral asymmetry inversion with predominance of the bioelectric activity in the right cerebral hemisphere are regarded as objective signs of amnesia induction.
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Anesteziol Reanimatol · Mar 2004
Randomized Controlled Trial Clinical Trial[Effect of different colloid volume-replacing solutions on a changed hemostasis system].
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Anesteziol Reanimatol · Mar 2004
Case Reports[Intraoperative anaphylactic/anaphylactoid reaction to infusion of a modified liquid gelatin].
A clinical observation of an extremely rare but highly severe complication, i.e. anaphylatic/anaphylactoid reaction to the infusion of a synthetic colloid plasma-expander (Gelofusion) is described in the paper. Dropping arterial pressure concurrent with tachycardia and a negative dynamics of ST segment in ECGS were the main reaction signs. Besides, mechanisms of allergic reactions developing during the anesthesia implementation as well as the related measures of prevention and therapy are also elucidated.