Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 1993
Case Reports[Total spinal paralysis as complication of brachial plexus block].
Local anesthesia of the brachial plexus by interscalenic approach was a cause of total spinal blockade due to the administration of a local anesthetic into subarachnoid space. To prevent this it is necessary to administer a test dose of a local anesthetic with pre-aspiration of the liquor with a syringe. Intensive care procedures should be aimed at maintenance of adequate hemodynamics and gas exchange and to liquidation of circulating blood volume deficiency.
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Anesteziol Reanimatol · Mar 1993
Comparative Study[Repeated epidural anesthesia in cesarean section in parturients with uterine scars].
A total of 956 epidural anesthesia procedures during cesarean section have been reviewed. In 234 cases epidural anesthesia was used repeatedly for analgesia during cesarean section in women with scars on the uterus. ⋯ The differences between groups in the rate of development, duration of anesthesia, intensity of motor block and quality of analgesia were insignificant. It has been concluded that epidural anesthesia is highly effective during cesarean section in women with scars on the uterus and can be used repeatedly without the quality of analgesia being deteriorated.
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Anesteziol Reanimatol · Jan 1993
Case Reports Comparative Study[Prevention of pressor reaction to tracheal intubation in patients with cerebral aneurysms: fentanyl and nitroglycerin combination].
The authors analyze the clinical efficacy of a combined method for the prevention of pressor reaction to laryngoscopy and tracheal intubation, based on the combination of common clinical doses of fentanyl (4 micrograms/kg b. m.) and intravenous infusion of nitroglycerin solution in 26 patients with brain vessel aneurysms. This method effectively prevented the dangerous rise of arterial pressure during laryngoscopy and tracheal intubation.