Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2001
Historical Article[Significance of anesthesiology and intensive care in the development of reconstructive surgery (as exemplified by the scientific school of the Academician B.V. Petrovskiĭ)].
B. V. ⋯ Introduction of neuroleptanalgesia, high-quality artificial ventilation of the lungs, prolonged regional and combined anesthesia, protection of the myocardium and brain, bronchofibroscopy, extracorporeal detoxication, assisted circulation, and computer monitoring allowed the performance of the most sophisticated interventions on the heart, aorta, lungs, esophagus, liver and bile duct, and peripheral vessels. Progress in anesthesiology and reanimatology promoted the development of new trends in reconstructive surgery, such as repair microsurgery, organ transplantation, endovascular and endoscopic surgery.
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Anesteziol Reanimatol · Jan 2001
Comparative Study[Effects of ketamine and propofol on oxygen status and blood content of the brain in children].
Near infrared spectroscopy (NIRS) was used for noninvasive measurement of oxyhemoglobin (O2Hb) and total hemoglobin (tHb) in cerebral tissue and for evaluating local hemoglobin saturation with oxygen (rSO2) and cytochrome oxidase (Cytaa3) redox status in 68 children (6-14 years) during intravenous induction anesthesia with various anesthetics. Monoanesthesia with ketamine essentially increased the level of tHb and rSO2 and decreased the oxidized Cytaa3 fraction. Combined induction with ketamine and midazolame and propofol induction did not cause notable changes in the values of cerebral oxymetry.
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Anesteziol Reanimatol · Jan 2001
Comparative Study[Experience in the use of needle peripheral venous catheters in children].
The use of peripheral venous catheters manufactured by Johnson & Johnson Medical Ltd. in children was evaluated in terms of painfulness of venipuncture and cannulation, number of attempts needed to succeed, convenience of handling, and duration of the cannulation period. The intravenous catheters of Johnson & Johnson Medical Ltd. minimized the pain of venipuncture and cannulation and proved to be safe and convenient for patients and nursing staff.
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Anesteziol Reanimatol · Sep 2000
Review Comparative Study[Anesthesia in one-stage surgery of the carotid and coronary arteries].
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Anesteziol Reanimatol · Sep 2000
Comparative Study Clinical Trial Controlled Clinical Trial[Prevention of postoperative pain: pathogenetic bases and clinical aspects].
The trial aimed at development of pathogenetically sound complex of therapeutic measures to prevent postoperative pain or relieve it significantly included 1912 patients after elective surgical interventions on the lower part of the body. It is shown that basic factors in postoperative pain prevention are the following: a) adequate relief of preoperative pain syndrome; b) use of spinal or spinal-epidural anesthesia as the leading anesthesia method; c) preoperative epidural administration of opioid analgetic drugs; d) pre-, intra- and postoperative administrations of drugs affecting N-methyl-D-aspartate-receptors (ketamine, magnesium sulphate) as well as inhibitors of kininogenesis and prostaglandinogenesis. The success lies in a multimodality approach to prevention of postoperative pain syndrome, i.e. maximal eradication of all the factors promoting onset of pain during pre-, intra- and postoperative period with a simultaneous impact on peripheral and central mechanisms of acute pain. Such an approach resulted in a complete prevention of postoperative pain in 46.2% patients while the rest patients had much less intensive pain.