Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · Sep 1995
Case Reports Comparative Study[Prevention of ventilation hypoxia in surgical interventions on the open trachea].
Presents an analysis of artificial ventilation of the lungs (AVL) during interventions on the open trachea in 32 patients. Before crossing the trachea common AVL through an orotracheal tube was used. ⋯ At the stage of formation of intertracheal and tracheobronchial anastomosis AVL was resumed through a thin orotracheal tube moved further into the distal stump of the trachea or the main bronchus. High-frequency AVL through a thin orotracheal catheter at a frequency of 150/min provides adequate oxygenation of the blood and creates favorable conditions for the intervention on the open trachea during creating a tracheal anastomosis.
-
Anesteziol Reanimatol · Jul 1995
Comparative Study[Significance of tissue perfusion disorders and disseminated intravascular blood coagulation in the pathogenesis of post-resuscitation disease in patients with massive hemorrhage and severe multiple trauma].
A total of 198 patients with massive blood loss and grave combined injury treated at the intensive care ward were monitored for 5 days. This paper presents data on the blood content of peripheral tissues assessed by rheovasography and the time course of coagulating characteristics of the blood and fibrinolysis. ⋯ Signs of disseminated intravascular coagulation were detected as soon as after 6 h in the presence of expressed progressing thrombinemia, decelerated fibrinolysis in the blood plasma, thrombocytopenia, and consumption of some blood clotting factors. According to our data, disseminated intravascular blood coagulation in the microvessels is possible after 12 h and reaches its maximum on day 2 of treatment; it persisted over the entire follow-up (5 days) period and was associated with clinically manifest involvement of the functions of parenchymatous organs and systems starting from the end of the first or beginning of the second day of treatment.
-
Anesteziol Reanimatol · Mar 1995
Review Comparative Study[Practical steps in the solution of the problem of patient's safety during anesthesia].
-
Anesteziol Reanimatol · Mar 1995
Comparative Study[Choice of anesthesia in geriatric patients in lower limb surgery].
Three variants of regional anesthesia were used in 162 patients operated on the lower limbs. A combination of the inguinal approach after Winnie for the blocking of the lumbar plexus and sciatic nerve provided a reliable analgesia in operations performed below the middle third of the femur. In interventions on the upper third of the femur and the hip joint segmentary conduction blocking (epidural or spinal anesthesia) should be preferred in geriatric patients, because it is impossible to block the branches of the obturator, sciatic, upper and lower gluteal nerves innervating the hip joint by Winnie's technique, an anatomical obstacle (fascial node) preventing the procedure, as was shown by anatomical experiments with 28 corpses.
-
Anesteziol Reanimatol · Mar 1995
Review Comparative Study[Possibilities and prospects of regional anesthesia in the current anesthesiological practice].
Presents a modern concept of conduction blocking, permitting revision of indication for it. Blocking is regarded as the basic component of present-day anesthesiologic care responsible for analgesia and regional muscle relaxation. Use of objective methods of verification of the elements of nervous formations improves the efficacy of and extends the range of indications for regional blocking solves the problem of regulation, and rational combination of this modality with selectively acting drugs provides the optimal realization of balanced anesthesia.