Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · Mar 2013
Comparative Study[Respiratory support in anaesthetic management for thoracic surgery and their comparative characteristics: over 2000 anaesthesia experience].
The article deals with the first comparative study of haemodynamics, gas exchange, and metabolic lung finction in patients with underlying respiratory and cardiovascular diseases. Different anaesthesia and ventilation (conventional AVL, OLV differentiated ALV) techniques were used. Respiratory support methodology with the use of HFV or CPAP during the main phase of thoracic surgery in patients with severe associated cardio-respiratory diseases was developed. Indications for differentiated AL V in thoracic surgery were developed.
-
Anesteziol Reanimatol · Mar 2013
[Peripheric blockades in plastic and reconstructive surgery: up-to-date trends and prospects (a 30-year experience)].
The article presents the own 30-year experience in the use of more than 1000 prolonged peripheral nerves and plexus block anaesthesia in reconstructive surgery, based on experimental and clinical studies. The evolution peripheric blockades technique is given:from a separate anaesthesia method to balanced anesthesia based on peripheric blockades. The current state of the problem was analyzed according to the literature.
-
Anesteziol Reanimatol · Mar 2013
Case Reports[Video laryngoscopy and retromolar endoscopy in maxillofacial surgery].
The article presents successful intubation experience in 54 patients. Laryngoscopy was performed with McGrath Series 5 laryngoscopy with a difficult airway blade ("Airway Medical") in 46 patients, and retromolar endoscope Bonfils ("Karl Storz") in 9 patients. Technical traits, resulting from the use video laryngoscopy and retromolar endoscope are discussed. ⋯ The use of videolaryngoscopy and retromolar intubation is a real support for standard laryngoscopy and fiberbronchoscopy during orotracheal intubation including difficult ones. Difficult intubation may result from mouth opening restriction, atlantoocciital immobility and orolaryngopharynx deformation because of edema and rigidity, for example after an osteotomy or tumors presence. Videolaryngoscopy master is easier than retromolar endoscopy, because videolaryngoscope construction, laryngoscopy technique and larynx structures visualization are similar to the classic MAC blades.
-
Anesteziol Reanimatol · Mar 2013
[Anaesthesia and monitoring in cardiac and aortic surgery at Russian Scientific Surgical Center].
Basic principles of anaesthesia management in cardiac and aortic surgery, elaborated in the Department of cardioan aesthesia of Petrovsky National Research Centre of Surgery are presented and discussed. Clinical, instrumental and laboratory data helped us to mark out main aspects of anaesthesia safety and efficacy improvement in cardiac surgery patients. These include: complex preoperative preparation for heart failure degree reduction, drugs selection for balanced anaesthesia, enhanced homeostasis monitoring, the effective protection of myocardium, brain and spinal cord, internal organs, pharmacological and mechanical cardiovascular support, haemostasis optimization etc.
-
Anesteziol Reanimatol · Mar 2013
[Intubating laryngeal mask efficacy in obese and overweight patients].
We evaluated the Intubating Laryngeal MAsk (ILMA Fastrach) efficacy for airway management, ventilation and blind intubation in obese and overweight patients. Methods. 50 adult patients (22 men and 28 women) with predicted difficult trachea intubation (PDTI), undergoing general anaesthesia with ILMA were included in this study. ILMA was selected according to gender: ILMA No 5 for men and No 4 for women. PREMEDICATION: diazepam and H,-blockers. Anaesthesia induction: midazolam 0. I - 0.15 mg/kg, propofol 1.6-2.5 mg/kg, fentanyl 0.1-0.15 microg/kg, rocuronii bromide or atracurii besilate 0.6 mg/kg. ⋯ ILMA Fastrach was used successfiully in obese patients with PDTI for both ventilation and TI. Technique is simple in training, but a preliminary experience is essential for ILMA use in difficult cases.