Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jul 2014
Randomized Controlled Trial[Prophylaxis of hepatic insufficiency after major hepatic resections].
The article deals with a problem of prophylaxis of hepatic insufficiency in oncological patients after liver resections. ⋯ Use of Remaxol allows decreasing the duration of postoperative rehabilitation and intensive care unit staying.
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Anesteziol Reanimatol · Jul 2014
Biography Historical Article[Vladimir L'vovich Kassil' (to the 80th anniversary of birthday)].
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Anesteziol Reanimatol · Jul 2014
Biography Historical Article[Alexandr Anatol'evich Eremenko (to the 60th anniversary of birthday)].
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To analyze an efficiency of hypofibrinogenemia treatment. In the Scientific Center for Hematology (Moscow) significant hypofibrinogenemia occurs in 3% of patients with hemoblastosis. 1000 doses of cryoprecipitate are used for a hypofibrinogenemia treatment every year (21-23 doses for each patient). Containing of fibrinogen in a one cryoprecipitate dose is from 108 mug to 711 mug (M = 276 mug). Volume of one dose is from 8 to 90 ml (M = 24 ml). Hypofibrinogenemia occurred in all patients required a cryoprecipitate transfusion (M = 1 g L(-1), min 0.5 g L(-1), max 2 g L(-1)). We fixed an increasing of fibrinogen level in plasma by 0.7 +/- 0.2 g L(-1) after the cryoprecipitate transfusion. We analyzed a world experience of the use of fibrinogen containing blood components. ⋯ Fresh frozen plasma transfusion cannot be a choice method of treatment for hypofibrinogenemia. Fibrinogen's concentrate has the same effectiveness as a cryoprecipitate both for congenital and acquired deficit of fibrinogen. The frequency of complications due to fibrinogen's concentrate is low. Currently clinical studies of recombinant fibrinogen are conducted. Ways of implementation of fibrinogen preparations in Russia are discussed.
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Anesteziol Reanimatol · May 2014
Randomized Controlled Trial[Effects of remote ischemic preconditioning on perioperative period in elective aortic valve replacement].
To evaluate the effects of remote ischemic preconditioning (RIPC) on the perioperative period in elective aortic valve replacement (AVR) along different anaesthesia techniques. ⋯ Cardioprotective effect of RIPC and its effect on systemic inflammatory response should be assessed in the selected anesthesia groups. RIPC on the background of sevoflurane anesthesia reduces myocardial injury during AVR. RIPC does not reduce the severity of the systemic inflammatory response after AVR. RIPC reduces the risk of AF after AVR.