Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 2014
[Assessment of pain relief in patients receiving different variants of multimodal analgesia after major gynecological surgery].
The major gynecology surgery generally results in severe postoperative pain. Currently multimodal analgesia concept is widely used for the aim of postoperative pain relief optimization. ⋯ One way to solve the problem is appearing in daily practice nefopam--centrally acting non-opioid analgesic that inhibits reuptake of serotonin, norepinephrine, and dopamine and also mitigates glutamatergic neurotransmission. In this trial we tried to assess the postoperative daily used analgesia quality and potency of preemptive multimodal analgesia model consisted of nefopam, ketoprofen, paracetamol and morphine.
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Anesteziol Reanimatol · Mar 2014
[Significance of static pressure-volume loop for differential diagnostics and optimization of respiratory support in parenchimal respiratory failure].
To determine significance of static pressure-volume loop (PV loop) for differential diagnostics of parenchymal respiratory failure, setting of positive end-expiratory pressure (PEEP) and recruit ability of the lung. ⋯ Static PV loop has limited prognostic value for differential diagnostics of diffuse or local lung injury and brings potential harm for setting PEEP according to LIP. LIP more than 10 mbar can predict diffuse lung injury. Clin can predict volume of PEEP-induced recruitment. In diffuse lung injury LIP correlates with empirically set PEEP.
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Anesteziol Reanimatol · Mar 2014
[Features of maxillary and mandibular nerves imaging during stem regional blockades. From paresthesia to 3D-CT guidance].
There are difficulties in procedure of regional block of 2 and 3 brunches of the trigeminal nerve despite availability of many different methods of nerves imaging. The difficulties are connected with complex anatomy structure. ⋯ The changing of the tactics on paraesthesia search improves the situation. The use of new methods of nerves imaging (3D-CT) also allows decreasing the frequency of fails during procedure of regional block of the brunches of the trigeminal nerve.
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Anesteziol Reanimatol · Mar 2014
[Pulmonary artery catheterization in patients with blood diseases].
To analyze complications of the pulmonary artery catheterization in patients with blood diseases. ⋯ Pulmonary artery catheterization can be used in patients with blood diseases and first of all in cases of septic shock and acute respiratory failure. Alternative less invasive methods of monitoring should be used in patients with agranulocytosis.
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Anesteziol Reanimatol · Mar 2014
[Review of defects of anaesthesia and intensive care (based on fee of forensic medical examinations)].
The article deals with extremely topical problem of the patient safety in anaesthesiology and intensive care. The medical aid complications and defects issue in anaesthesiologist practice is not only specifically medical, but also social significant. The analysis of frequency and nature of defects in anaesthesiology and intensive care was conducted. ⋯ Special attention was paid to airway management defects. Results helped to determine at which stage and procedure the critical incidents had occurred, as well as their frequency and causes. Considering the discovered causes of defects in anaesthesiology and intensive care, measures aimed at preventing complications and increasing the anaesthesiology and intensive care quality were proposed.