Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 1994
Comparative Study[A clinical and experimental study of the role of long-lasting perioperative epidural anesthesia in the prevention of phantom limb pain].
The aim of this study was to investigate the possible onset of phantom limb pain (PLP) and its development depending on preoperative limb pain and type of anesthesia during limb amputation. It was experimentally proved that preliminary local anesthesia of rat sciatic nerve slowed down the development of pain syndrome after the operation as well as reduced the number of rats with pain syndrome, as compared to the group subjected to preliminary painful electrical stimulation of the operated on limb. The clinical data presented reveal a significant reduction in the incidence of PLP after perioperative epidural anesthesia, as compared to patients with preoperative pain operated on under general anesthesia.
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Anesteziol Reanimatol · Sep 1993
[Intraoperative monitoring of a neuromuscular conduction blockade].
Preliminary results of intraoperative monitoring of the degree of neuromuscular blockade using a portable device based on the technique of evoked electromyography are presented. The device has an analogue outlet for the connection with a computer. The technique used is simple and reliable and makes it possible to work out a computerized system for automatic graded supply of current myorelaxants on a feedback principle. Such a system does not only ensure an adequate level of myorelaxation with a minimum expenditure of expensive drugs, but also gives a new approach to the study of neuromuscular conduction during anesthesiological supply in various surgical interventions.
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Anesteziol Reanimatol · May 1993
Comparative Study Clinical Trial Controlled Clinical Trial[Spinal anesthesia with lidocaine combined with moradol].
The efficacy of spinal anesthesia with lidocaine (1 mg/kg) combined with moradol (0.005 mg/kg) during urologic surgery has been compared with that of spinal anesthesia with lidocaine (1 mg/kg) combined with morphine (0.01 mg/kg). The adequacy of anesthesia was evaluated using common clinical and biological parameters. ⋯ A combination of local anesthetics with moradol ensures adequate anesthesia and pronounced prolonged postoperative analgesia and sedation. The absence of serious side effects makes it possible to substitute moradol for narcotic analgesics used in spinal anesthesia.