Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2014
Randomized Controlled Trial[Treatment of delirium in the early postoperative period after cardiac surgery].
To assess efficacy and safety of dexmedetomidine for treatment of delirium in cardiac surgery. ⋯ Dexmedetomidine provides an average target level of sedation, decreases duration of delirium and duration of stay in the ICU. Dexmedetomidine does not cause depression of respiration which allows keeping a verbal contact with patients and improving a diagnostics of pain syndrome. The most common side effect of the dexmedetomidine use is a dose-depending bradycardia.
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Anesteziol Reanimatol · May 2014
Randomized Controlled Trial[Epidural blockades use in low back pain treatment].
We studied 90 patients with radicular acute pain syndrome of lumbosacral localizations in the Petrovsky Russian Research Center of Surgery from 2009 to 2013. The patients were divided into two groups. We assessed an effectiveness of epidural blockades in complex therapy. ⋯ The treatment of radicular pain syndrome with intensity over 5 points according to visual analog scale should be started with epidural blockade with local anesthetics and small doses of steroids.
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Anesteziol Reanimatol · May 2014
Case Reports[Successful implementation of shortened postoperative period program after ten hours of general anaesthesia in patient with morbid obesity].
Early patient's activation is the best method of prophylaxis of many complications of the postoperative period. Patients with obesity are at high risk of developing complications in respiratory system. The following clinical report is about the successful implementation of the shortened postoperative period program in patient with morbid obesity after general desflurane maintained anesthesia and, at the same time, epidural ropivacaine-based anesthesia. ⋯ The intraoperative period was well controlled and characterized with stable hemodynamic indexes. On the fourth minute after desflurane intake was terminated and recovery of consciousness and spontaneous breathing of the patient were registered, patient was extubated. This clinical experience and also an information than can be found in the earlier publications allow us to consider a desflurane maintained anesthesia as one of the safest and comfortable methods of anesthesia for patients with a morbid obesity.
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Anesteziol Reanimatol · May 2014
Observational Study[Monitoring of intra-abdominal pressure and abdominal perfusion pressure in urgent abdominal surgery].
To evaluate the changes in intra-abdominal pressure (IAP) and abdominal perfusion pressure (APP) during perioperative period in urgent abdominal surgery and to assess the relationship of these parameters with gas exchange and tissue perfusion. ⋯ Transient perioperative increase of IAP was observed in 75% patients undergoing urgent abdominal surgery; however in parallel with intensive care the abdominal perfusion pressure remained within normal values. Abdominal perfusion is related with arterial oxygenation and central venous saturation.
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Anesteziol Reanimatol · May 2014
[Hemodynamic effects of spinal anaesthesia during caesarian section in pregnant women with hypertensive disorders].
To make the comparative analysis of the changes of main parameters of haemodynamic during caesarean section with spinal anaesthesia (SA) in patients with uncomplicated pregnancy and pregnancy with hypertensive disorders. ⋯ There were significant differences changes in the main hemodynamic parameters between groups at all stages of the study. Results of this survey suggest that hemodynamic response to anaesthesia depends on the initial state of the circulatory system.