Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2003
[Syndrome of systemic inflammatory response in children with septic pyogenic complications of rhinosinusitis].
Clinical features and diagnostic and prognostic values of systemic inflammatory response syndrome (SIRS) were studied in 158 children with rhino-sinusogenic orbital and intracranial complications. Patients, whose condition was more severe, showed more SIRS markers and more often needed surgical removal of the primary infectious process in paranasal sinuses (31%). ⋯ Complicated rhinosinusitis should be regarded as septic if in addition to the primary infectious process the child has two or more SIRS symptoms and signs of organic dysfunctions. This approach to the diagnosis and treatment of sepsis results in recovery of 98.5 of children with this condition.
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One of the central problems of zenon anesthesia is evaluation of its adequacy. The bispectral index (BIS) is estimated empirically on the basis of electroencephalograms of patients treated with vapor-forming anesthetics. We investigated clinical and electrophysiological parallels of xenon monoanesthesia by using the EEG bispectral index. ⋯ Electrophysiological parameters were stable during maintenance and corresponded to the depth of anesthesia. Hence, monitoring of BIS and SEF-95 provides for an adequate control of anesthesia, while during induction and awakening the values of these indices are doubtful. The incorrectness of EEG BIS at these stages of Xe anesthesia is due to specific electrophysiological mechanisms of Xe, affecting mainly HMDA and H-cholinergic receptors of the CNS.
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Anesteziol Reanimatol · Jan 2003
[Optimization of anesthesiological management of reoperations in patients with renal transplant].
Tasks of anesthesiology support of reoperations in patients with renal allografts are determined; a classification of reoperations is offered. Vital functions in patients subjected to reoperations are evaluated. A method of anesthesia for various types of reoperations is suggested.
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Anesteziol Reanimatol · Nov 2002
[Role of autoPEEP in the optimization of the respiratory pattern in patients with acute parenchymatous lung diseases].
The paper presents the results of a study of the impact of autoPEEP (positive end-expiratory pressure) on gas exchange in the lungs, their biomechanical characteristics, the transport and consumption of oxygen by inverting the inspiration/expiration ratio under the volume-controlled mechanical ventilation of the lung (VCMVL) in patients with acute parenchymatous lung lesion, as well as how to choose the optimum inspiration/expiration ratio in VCMVL by analyzing the pattern of total PEEP (the sum of positioning and autoPEEP) in this group of patients.