Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 1990
[Evaluation of subarachnoid anesthesia using local anesthetics in combination with morphine].
The efficacy of subarachnoidal anesthesia with lidocaine (trimecaine) in combination with small morphine doses was compared to anesthesia with lidocaine (trimecaine) alone. The analysis of the results obtained has demonstrated that the combination of local anesthetics (lidocaine, trimecaine) with minimum doses of narcotic analgesics (morphine) improves considerably the quality of anesthesia, enhancing the blockade of nociceptive impulsation from the operative area and ensures prolonged postoperative analgesia.
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Anesteziol Reanimatol · May 1990
[Characteristics of hemostatic disorders in septic shock in children].
Changes at different stages of coagulation cascade have been assessed during intensive therapy of septic shock in 40 children aged 1 to 14 years. Progressing septic shock is accompanied by chronometric and structural hypocoagulation with potential hypercoagulation in transfer samples, thrombocytopenia and thrombocytopathy. ⋯ The decrement of arterio-venous difference in hemostasis parameters is typical of marked stages of the shock lung. Dynamic control over hemostasis shifts makes it possible to predict the outcome of septic shock.
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Anesteziol Reanimatol · Mar 1990
Comparative Study Clinical Trial[The role of non-traditional methods of analgesia in the postoperative period].
192 patients, aged 33 to 67 years, predominantly after abdominal and small pelvic surgery have been examined. Non-conventional techniques of analgesia were used in most of patients: central electroanalgesia, transcutaneous peripheral and paravertebral electroanalgesia, corporal and auricular acupuncture. To ensure postoperative pain relief various types of electrical stimulation were applied using home-made devices, The efficacy of non-conventional anesthesia techniques in the postoperative period has been confirmed.
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Anesteziol Reanimatol · Mar 1990
Clinical Trial[Synthetic analgesic moradol at various stages of surgical treatment of patients with cancer].
Moradol ("Galenika", Yugoslavia)/butorphanol tartrate ("Bristol--Mayers C.", USA)/, a synthetic analgesic representing a new generation of opiate receptors agonists-antagonists, devoid of any narcogenic potential has been used as the only analgesic at all stages of anesthesia during cancer surgery in 26 patients. For premedication moradol was used in a mean dose of 0.032 +/- 0.003 mg.kg-1 in combination with diazepam (0.153 +/- 0.005 mg.kg-1) and atropine (0.01 mg X X kg-1). ⋯ General anesthesia was maintained with moradol, diazepam, nitrous oxide and droperidol. The data presented in the paper demonstrate the advantages of moradol at all stages of intra- and postoperative analgesia, which ensures stable anesthetic background (according to hemodynamic parameters) and reduces considerably an overall postoperative analgesic dose.