Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 2001
Comparative Study[Intraoperative reinfusion of erythrocyte mass in neuroanesthesiology].
Automated reinfusion of autoerythrocytes prepared from blood lost during removal of tumors was the main component of transfusion therapy in 49 patients (52 operations) with brain tumors. All patients developed massive blood loss of 0.5-5 TCB during the intervention, reinfusion device cell saver C. A. ⋯ This latter problem was solved by using the last-generation leukocyte filter RC-400 Klev (Pall, Germany). Automated reinfusion of autoerythromass effectively compensated for massive intraoperative blood loss, on condition of correction of hemostasis disorders by fresh frozen plasma and purification of reinfused suspension from tumor cells by filtering through leukocytic filters. Moreover, our results indicate that utilization of cell saver is obligatory for some patients with supermassive hemorrhages.
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Anesteziol Reanimatol · Mar 2001
Comparative Study[Use of plasmapheresis for correction of metabolic disorders in patients with surgical sepsis].
Twenty-four patients aged 16-67 years with surgical sepsis developing as a result of pancreonecrosis, gynecological diseases, urological sepsis. closed abdominal injury, and suppurative inflammation of soft tissues were examined. Endotoxemia caused pronounced disorders in metabolism, particularly purine metabolism, and the associated lipid peroxidation processes. Plasmapheresis exerted a positive effect in patients with high concentration of medium molecular-weight polypeptides (more than 0.32 arb. units) in the blood, decreasing the mortality by 40.5%. At lower concentrations of these polypeptides in the blood (less than 0.32 arb. units) plasmapheresis is inefficient.
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Anesteziol Reanimatol · Mar 2001
Comparative Study[Changes in cerebral blood flow, intracranial and cerebral perfusion pressure in neurosurgical patients during anesthesia induced with diprivan].
Effect of diprivan on cerebral blood flow, intracranial (ICP) and cerebral perfused pressure (CPP) was studied in neurosurgical patients during induction narcosis. The labored perfusion syndrome was observed in all patients during the initial stage. ⋯ During intubation ICP decreased by 3-7 mm Hg. At the stage of anesthesia stabilization ICP decreased by 27.3%, mean arterial pressure by 10%, CPP by 6%, linear blood flow velocity in the mid-cerebral artery of the intact hemisphere by 28.1% and in the involved hemisphere by 39.9%, with simultaneous leveling of cerebral blood flow between them.
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Anesteziol Reanimatol · Mar 2001
Comparative Study[Cuffed oropharyngeal airway: a new tool for airway management].
The aim of the study was to evaluate the use of cuffed oropharyngeal airway (COPA) in spontaneously breathing patients (n = 162) under total anesthesia and to compare the new method with the laryngeal mask (LM) (n = 172). COPA provided adequate well-hermetized airway in operations under total anesthesia on spontaneously breathing patients. COPA can serve as an alternative to LM in patients with spontaneous respiration, as no appreciable differences in the incidence and type of complications in the two groups were observed. COPA extends the anesthesiologist's potentialities in ensuring reliable patency of airways, is simple, and requires no special training.