Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · Sep 1990
[Experience in the use of epidural anesthesia in a multi-profile hospital].
The article analyses the experience of the use of 14,634 epidural anesthesia procedures in a city multi-profile hospital. The authors express their ideas on the use of epidural anesthesia with opiates and local analgesics as one of the anesthetic techniques in the operative and postoperative periods. All the complications and adverse events of epidural anesthesia are thoroughly analysed, with the number indicated somewhat lower than in other articles by Soviet authors. Ways of decreasing the frequency of complications are suggested and wider use of the technique is recommended.
-
Anesteziol Reanimatol · Jul 1990
Comparative Study[Extracorporeal detoxification (hemosorption, plasmapheresis and plasma exchange) in the intensive therapy of hemolytic disorders].
Extracorporeal detoxication techniques (hemosorption, plasmapheresis and plasma exchange) were used in a complex therapy of 55 patients with hemolytic disorders of different etiology. The results of clinical and laboratory studies confirm the efficacy of plasmapheresis. Skin surfaces and mucosa became less icteric, the size of the spleen and liver diminished, the levels of free hemoglobin, bilirubin and circulating immune complexes decreased, blood toxicity reduced. Unlike hemosorption, plasmapheresis and plasma exchange had no unfavourable effects on blood cells.
-
Anesteziol Reanimatol · Jul 1990
[Blood platelet level and platelet aggregation in adult respiratory distress syndrome].
39 patients after surgery for generalized peritonitis with adult respiratory distress syndrome (ARDS) in the postoperative period have been examined. It is suggested that platelets play a certain role in the pathogenesis of ARDS and may serve as one of the mechanisms triggering disturbances in the function of both pulmonary vessels and respiratory airways. The degree of changes in platelet number and aggregation "below" and "above" the lungs may predict the severity of ARDS.
-
Anesteziol Reanimatol · Jul 1990
[Moradol (butorphanol tartrate) as the analgesic component of current combination general anesthesia].
A technique is described for the use of moradol as an agent ensuring analgesia in modern combined general anesthesia during abdominal and thoracic surgery, cardiac surgery, cardiopulmonary bypass included, and diagnostic manipulations. Moradol was particularly effective for long-term surgery. ⋯ Agonist opioid activity of moradol was maximum 10 min after its intravenous administration, therefore a 5 to 10 min exposition upon moradol injection prior to hypnotic drug administration is suggested. Bolus drug dose (150 mg/kg) for induction to anesthesia was an adequate protection against pain impulsation in surgical trauma in the course of 3-4 hours of surgical intervention.
-
Anesteziol Reanimatol · May 1990
Comparative Study[Total intravenous general anesthesia during radical correction of tetralogy of Fallot].
Three techniques of general intravenous anesthesia were compared, using mathematical parameters of the heart rhythm, hemodynamic and sympathoadrenal system responses, arterial blood Hb saturation with O2 (SaO2) and thermometry. It has been established that anesthesia with dipidolor ensures adequate protection against the operation stress both in patients with tetralogy of Fallot previously subject to interarterial anastomoses and patients with tetralogy of Fallot without anastomoses. ⋯ A more marked response of sympathetic autonomous nervous system and hemodynamics in patients with tetralogy of Fallot previously subject to anastomoses is, probably, mediated by a more intensive analgesic sequestration in the lungs in the presence of functioning anastomoses, which attenuates the analgetic effect. Anesthesia in patients with tetralogy of Fallot previously subject to interaortic anastomoses should be performed using higher doses of narcotic analgesics.