Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jul 2002
Comparative Study[Choice of local anesthetic for epidural anesthesia in physiological labor].
In comparative analysis of epidural anesthesia by bupivacaine and ropivacaine the latter was shown to give smaller motor block and so can be applied at the end of both first and second stage of labor. Adequate anesthesia provides uneventful course of the second stage of labor, decreases its duration and eliminates the disorders of central hemodynamics and hormonal homeostasis. Currently naropin seems to be anesthetic of choice for epidural anesthesia of in labor by way of natural maternal passages.
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Anesteziol Reanimatol · Jul 2002
[Noninvasive assisted lung ventilation during ambulatory laparoscopic cholecystectomy].
Both obstructive-restrictive respiratory disturbances along with hypercapnia and oxygen consumption rate and respiratory quotient increasing were proved to follow laparoscopic cholecystectomy. Non-invasive pressure assisted lung ventilation decreased the extent of both respiratory and metabolic deviations and provided the restoration of normal breathing pattern for 24 hours.
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Anesteziol Reanimatol · Jul 2002
[Regional anesthesia of the airways in difficult tracheal intubation in a conscious patient with spontaneous respiration].
Clinical pattern of anesthesia, hemodynamic and gas exchange states were evaluated in 64 patients with congenital or acquired damage of maxillary-facial region due to tumor or trauma. 51 patients were intubated under locoregional anesthesia of the upper respiratory tract (superior laryngeal nerves, glossopharyngeal nerves, intratracheal anesthesia) by means of blind nasal or oral fiberoptic retrograde and by using laryngeal mask technique. In 12 cases fiberoptic device was used for intubation under local anesthesia by lidocaine solution. ⋯ Satisfactory anesthesia in oropharynx, larynx and trachea was reached in all cases, the most profound blockage of airways and lack of pharyngeal and laryngeal reflexes being in patients under locoregional anesthesia. So locoregional anesthesia can be used for awake intubation.