Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2000
Comparative Study[Ways to decrease blood loss during total hip joint endoprosthesis].
Total replacement (endoprosthesis) of the hip joint was carried out in 93 patients aged 18-60 years. Sixteen operations were performed under prolonged epidural blockade, 66 under neuroleptanalgesia, and 16 under ataralgesia. ⋯ Isovolemic hemodilution in patients with preoperative deficit of circulating blood volume decreased blood loss during long traumatic operations. Prolonged epidural blockade in combination with isovolemic hemodilution and spontaneous respiration led to a notable (70%) decrease of the true blood loss in comparison with the traditional neuroleptanalgesia.
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Anesteziol Reanimatol · May 2000
[Combined anesthesia using Diprivan and ketamine in pediatric surgery].
A total of 120 children aged 7-14 years were subjected to short-term elective and urgent interventions under combined intravenous anesthesia with diprivane and ketamine. The patients were divided into groups depending on methods of general anesthesia. ⋯ Ketamine ensured stable hemodynamics during induction anesthesia. A combination of diprivane and ketamine levelled some untoward effects of these anesthetics.
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Anesteziol Reanimatol · May 2000
[Abdominal sepsis: the integral assessment of the severity of patient condition and of multiple organ dysfunction].
Results of examinations of 247 patients with diffuse peritonitis and symptoms of abdominal sepsis are analyzed. Systemic inflammatory reaction in peritonitis patients can manifest by sepsis, severe sepsis, and infectious toxic (septic) shock. The severity of systemic inflammatory reaction syndromes can be evaluated by objective scores for evaluation of clinical states (APACHE II, SAPS) and the degree of multiple organ dysfunction/failure (MODS, SOFA). Application of objective scores for evaluation of clinical states provides clinical stratification of abdominal sepsis, helps predict the disease course and outcome, and improve treatment strategy.
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Anesteziol Reanimatol · Mar 2000
[An evaluation of the circulatory indices and of the blood oxygen-transport function in relation to the level of endogenous intoxication in patients with abdominal sepsis].
Septic shock in the presence of abdominal sepsis is one of the main cases of death of surgical patients. Hemodynamics was studied by impedancometry in 46 patients with abdominal sepsis. Hemodynamic changes and oxygen transporting function of the blood correlated with the severity of endogenous intoxication. Erythrocyte adsorption capacity was regarded as endogenous intoxication marker.
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Anesteziol Reanimatol · Mar 2000
Review Comparative Study[The need and outlook for alkalizing therapy in cardiopulmonary resuscitation].