Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Nov 1994
Review Comparative Study[Use of the method of food deprivation in preoperative care of patients with concomitant obesity].
Alimentary deprivation was used in preoperative treatment of 86 surgical patients with obesity. Body mass was reduced by 10 to 20%, on an average, and the course of concomitant diseases was corrected. Findings of clinical, instrumental, and laboratory studies showed that alimentary deprivation was well tolerated by surgical patients, improving their resistance to surgical stress.
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Anesteziol Reanimatol · Nov 1994
Case Reports[Orotracheal intubation in unstable cervical part of the spine: an alternative approach].
A case with a difficult intubation of the trachea in a patient with anterior dislocation of C(VI) vertebra and unstable cervical portion of the spine is described. A special Bullard fiberoptic laryngoscope was effectively used in this patient for orotracheal intubation. Use of this laryngoscope is a good alternative to other methods of tracheal intubation in patients with injuries and unstable cervical portion of the spine.
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Anesteziol Reanimatol · Jul 1994
Comparative Study Clinical Trial Controlled Clinical Trial[First experience in the use of a new Russian narcotic analgesic prosidol in oncology].
Prosidol, a new Russian narcotic analgesic, was used in various dosage forms (buccal and oral tablets, injection solution) in 113 cancer patients for the treatment of chronic pain, as a component of total anesthesia, and for postoperative analgesia. The best results were attained with the universal noninvasive dosage form, buccal tablets, used for the treatment of chronic pain in incurable patients. ⋯ As a component of total anesthesia prosidol is inferior to fentanyl and approximately similar to promedol. An advantage of prosidol is its highly effective universal noninvasive dosage form, buccal tablets, which may be used for rapid analgesia in any situation.
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Anesteziol Reanimatol · Jul 1994
Comparative Study Clinical Trial Controlled Clinical Trial[Effects of opioid analgesics on pulmonary ventilation and metabolism in patients with acute postoperative pain].
Opioid analgesics buprenorphine, nubain, and morphine were used in 33 patients suffering from acute postoperative pain on days 1-3 after operations on the lungs, heart and main vessels, abdominal organs. Buprenorphine was used in dose 0.01 mg/kg, nubain in dose 0.3 mg/kg, and morphine in dose 0.3 mg/kg. ⋯ Nubain had no noticeable effect on metabolism or ventilation parameters. Morphine lead to moderately expressed changes in metabolism and ventilation reducing metabolism by 12.5% and minute respiration volume by 10.3%.