Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2012
Case Reports[The difficulties of using intubating laryngeal mask in a patient with concomitant morbid obesity].
This is a case report of tracheal intubation with Intuhating Laryngeal Mask (ILMA) in a patient with morbid obesity.
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Anesteziol Reanimatol · May 2012
Clinical Trial[Haemostasis disturbances as the component of the surgical stress-response and possibilities of their correction].
An estimation of haemostasis parameters in the major abdominal surgery in comparision with surgical stress-response markers depending on anaesthesia and analgesia technique. ⋯ Hemostasis changes can be considered as a component of the surgical stress-response. The role of intraoperative regional anaesthesia is much more significant, than postoperative analgesia.
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Anesteziol Reanimatol · Mar 2012
Randomized Controlled Trial[Epidural analgesia in surgical treatment of scoliosis].
The article provides data on the use of a two-level epidural analgesia as a component of general anesthesia and postoperative analgesia in surgical treatment of scoliosis on the front and back structures of the spine. The study included 150 patients aged from 12 to 25 years. All the patients were divided into 4 groups. ⋯ In the 1-st and 4-th group carried out an propofol-fentanyl TIVA or inhalational sevorane-fentanyl one. The best result were obtained in the 3-rd group, where they carried out the infusion 0.2% ropivacaine with fentanyl (1 microg/ml) and epinephrine (2 microg/ml) via 2 epidural catheters. It was noted decreased blood loss by more than 50% in groups with epidural analgesia.
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Anesteziol Reanimatol · Mar 2012
Multicenter Study[Are we controlling the sedation in ICU? A multicenter study results].
The aim of this study is to evaluate the issues of sedation and analgesia in all-purpose ICUs in Russia. To obtain that, a single-day observational survey was performed in 55 ICUs of Ural and Siberia regions. ⋯ Sedation indications do not satisfy the modern concept, sedation level evaluation scores are used only in 13%, schemes and drugs are traditional. The results of this study may serve as a reason for discussion of necessity of introducing of sedative and analgetic therapy in ICU standarts.
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Anesteziol Reanimatol · Mar 2012
[The thromboelastometric criteria of hemostasis disorders correction during liver transplantation].
The purpose of the study. Optimum correction of hemostasis remains one of the unsolved problems in anesthesia maintenance during liver transplantation. Modern methods of coagulation monitoring (thromboelastography, thromboelastometry) allows to differ the increased bleeding reason. The clear criteria for the appointment of the blood components according to these methods have not developed so far. The aim of this study was to determine the criteria of hemostasis disorders correction during liver transplantation. ⋯ Correction of coagulation factors deficiency indicated when CT-EXTEM>80 and CT-INTEM> 240, hypofibrinogenemia when A10-FIBTEM <9, thrombocytopenia when of CT-EXTEM >80 and CT-INTEM increase simultaneously more than 300.