Anesteziologiia i reanimatologiia
-
This case report describes the malignant hyperthermia (MH) accident in 12-year old boy undergoing maxillary-facial surgery: Crisis began 30 min after normal sevoflurane induction. Patient was successfully treated hence the MH exhibited abortive course. One should considerthis case as urgent reason for dantrolen registration in Russia, because it is not officially available yet. And it also demonstrates the necessity for more vigilant relation to the MH especially in pediatric anaesthesiology.
-
Anesteziol Reanimatol · May 2012
Case Reports[Spinal neurosurgical intervention in a patient with end-stage renal disease (ESRD)].
The article presents the description of clinical observation, in which spinal neurosurgical intervention was successfully made in a patient with ESRD, receiving chronic hemodialysis for 20 years. In this context, we discuss the various clinical and tactical aspects of the management of patients with this severe co-pathology: infusion-transfussion therapy, peculiarities of anesthetic management and intra-operation monitoring, diagnostics and correction of hemostasis disorders, hemodialysis organization.
-
Anesteziol Reanimatol · May 2012
Clinical Trial[Ketamine versus propofol during one-lung ventilation in thoracic surgery].
A comparative analysis of gas, the metabolic rate, pressor, resistive and volumetric characteristics of pulmonary blood flow, central and intracardiac hemodynamics in patients undergoing thoracic surgery was conducted. 2 methods of anesthesia maintenance: on the basis of ketamine - fentanyl - pipecuronium and propofol - fentanyl - pipecuronim were compared. Invasive monitoring system PiCCOplus for the behaviour of the transpulmonary thermodilution (TT) in combination with VoLEF for the pulmonary thermodilution (PT) the change of ventilation mode ALV - OLV - ALV was used. OLV lasted for more than 1.5 hours.
-
Anesteziol Reanimatol · May 2012
Clinical Trial[Modern aspects of diabetic ketoacidosis treatment in children].
The aim of the research - the analysis of the regularities of diabetic ketoacidosis treatment in children and adolescents with type 1 diabetes mellitus, the explanation of the results obtained with the use of biological systems stability theory elements. MATHERIALS AND METHODS: The study included 90 children with type I diabetes mellitus in a state of diabetic ketoacidosis of different severity degree. With newly diagnosed type 1 diabetes mellitus - 56 children, with the "courced" diabetes - 34 children. In the evaluation of patients status was defined glucose, pH, and other indicators of acid-base status, using gas analyzer GEM Premier 3000 ("Instrumental laboratory", USA). ⋯ The offered technique for diabetic ketoacidosis treatment on the basis of the glucose solutions infusion throughout the treatment and "small" doses of insulin values pH and glucose in a safe range, even in patients with high risk of brain edema, which is confirmed by biological systems stability theory.
-
Anesteziol Reanimatol · May 2012
[Prognostic criteria for tracheostomy in the neuroresuscitation unit].
The aim is to specify prognostic criteria for tracheostomy on the basis of long-term (more than 14 days) ALV and prolonged (more than 14 days) trachea canmulation. ⋯ Prognostic criteria for tracheostomy in patients in neuroresuscitation unit are: criteria for prolonged ALV: level of 8 or less points on the Glasgow coma scale and subarachnoid hemorrhage and criteria for prolonged trachea cannulation: constrained basal cisterns, detected on CT scan of the brain and to the consciousness level of 8 or less points on the Glasgow coma scale.