Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jul 1991
[Results of the use of intraaortic balloon counterpulsation in patients with perioperative myocardial infarct].
The results of complex intensive therapy of cardiogenic shock have been studied in 17 patients with acute myocardial infarction developed as a complication of reconstructive surgery for ischemic heart disease. Complex therapy of cardiogenic shock included the use of intraaortic balloon contrapulsation, adrenomimetic agents, controlled lung ventilation and other intensive care procedures. 11 patients (64.7%) recovered from cardiogenic shock, 4 of them survived and were discharged from hospital. ⋯ The results of intensive care procedures were shown to depend on the size of perioperative myocardial infarction, which affected the severity of hemodynamic disturbances and duration and efficacy of complex intensive therapy of cardiogenic shock. The use of intraaortic balloon contrapulsation in cardiogenic shock resistant to adrenomimetic agents led to temporary hemodynamic stabilization without improving the prognosis.
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Anesteziol Reanimatol · Nov 1990
Comparative Study[A comparative evaluation of the permeability of the dura mater in parturients and the efficacy of epidural anesthesia using morphine following cesarean section].
Spinal dura mater permeability has been compared in 15 women dead in labour or of severe multiple combined traumas. The quantitative index for the assessment of transmeningeal morphine and dicaine diffusion was permeability coefficient calculated according to Fick's equation. ⋯ However, a decrease of the diffusion barrier is not clinically manifested during epidural morphine analgesia due to an equivalent increase in the rate of intravascular opiate adsorption. The conclusion is made that it is advisable to add the usual adrenaline dose (1:200,000) to the anesthetic solution to enhance the degree of anesthesia adequacy and to decrease the danger of the onset of general narcotic and respiratory depression on the fetus in the early neonatal period.
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Anesteziol Reanimatol · Nov 1990
[Tramal in the treatment of acute and chronic pain syndromes in cancer patients].
The study of 65 cancer patients has demonstrated the advantages and disadvantages of tramal as an agent used for the relief of acute and chronic pain syndrome. In 18 patients tramal was used in postoperative analgesia, in 17 patients it was used for the treatment of chronic pain syndrome. ⋯ However, tramal had definite advantages over other opiate agonists when used for the treatment of chronic pain syndrome in incurable cancer patients. Thus, the data obtained show that tramal, a synthetic analgesic of a new generation, has no dangerous side effects, is effective in a convenient, non-invasive drug form, interacts well with non-narcotic and supplementary agents and causes no clinical signs of drug tolerance or addiction in prolonged application.
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Anesteziol Reanimatol · Nov 1990
[The use of transcutaneous electric neurostimulation for postoperative analgesia in parturients undergoing cesarean section].
The study has been performed in 210 women with cesarean section: in 160 patients analgesia was performed with transcutaneous electrical neurostimulation and in 50 patients narcotic analgesics were used. It has been established that both techniques ensure adequate analgetic effect. At the same time transcutaneous electrical neurostimulation, ensuring good to excellent analgesia in 77.5% of women, has no negative effect on hemodynamics and respiratory function and accelerates rehabilitation processes.