Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 2012
[Respiratory support using multi-level lung ventilation in patients in critical state with systemic inflammatory response syndrome].
To prove the effectiveness of the method and improve lung gas exchange in patients with non-homogenous lung tissue damage with multi-level (3-level, MLV) ventilation. ⋯ Artificial lung ventilation (ALV) with MLV carried out in 13 patients with severe lung tissue damage (polytrauma, pneumonia and ARDS) treated at the unit of resuscitation and intensive care (for septic patients) SCH No 1 of Omsk since May 2011. The initial values of pO2 and oxygenation index were significantly reduced, the fraction of the intrapulmonary shunting - essentially increased. During the first day after the beginning of respiratory support with the use of MLV, was registered pO2, SaO2 and oxygenation index growth, there was a positive x-ray dynamics of improved lung tissue biomechanics. As a result of the ALV with MLV in 11 patients had achieved steady improvements of arterial oxygenation. The use of respiratory support with MLV in patients with severe lung damage leads to a significant improvement of the alveolar ventilation and arterial oxygenation, and to reduce the intrapulmonary shunting level. The use of this type of ventilation system versus traditional methods of respiratory therapy leads to respiratory failure solution, in reduce of duration of ALV terms and stay in the intensive care unit.
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Anesteziol Reanimatol · Mar 2012
[Effect of intraoperative infusion-transfusion therapy on mortality of patients with massive blood loss].
The aim of the research is to determine the influence of infusion-transfusion therapy of the volume and structure on intraoperation and hospital lethality in patients with injuries and diseases, complicated in blood loss, exceeding circulating blood volume (CBV). It was conducted a retrospective analysis of the anaesthesia flow, infusion-transfusion therapy and treatment results in 112 patients with injuries and diseases complicated in intra-abdominal bleeding, volume of more than 4 liters. It was found that the risk of death increases in low-volume infusion therapy (less than 1.5 volume of blood), use of the maximum permitted doses of colloids, high speed of infusion therapy. Adverse factors of intraoperative transfusion: the lack of intraoperative compensation erythrocytes(less than 50% of the lost), ones transfuse more than 2 standard doses of the donor's erythrocytes and large volumes of fresh frozen plasma (FFP).
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Anesteziol Reanimatol · Jan 2012
Randomized Controlled Trial Comparative Study[Anesthetic maintenance during cochlear implantation in children].
Was carried out comparative analysis of the use of sevoflurane and propofol in anesthetic maintenance during cochlear implantation in 72 children in the age of 1-6 years. The results of the study showed that sevoflurane anesthesia is more secure and manageable in comparison with the propofol anesthesia.
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Anesteziol Reanimatol · Jan 2012
Randomized Controlled Trial Comparative Study[Intraoperative blood loss during acetabuloplastic in children under traditional and combined neuroaxial anesthesia].
In this study included 61 patients aged 3-8 years, undergoing Solter operation. Patients were randomized into 3 groups: 1st group-operative interventions were performed under traditional endotracheal anesthesia; 2nd group - under combined spinal anesthesia; 3rd group - combined epidural anesthesia and 4th group - combined spinal-epidural anesthesia. In comparison with the traditional anesthesia, intraoperative blood loss was significantly lower in the 2nd group by 36.8%, in the 3rd group by 31% and in the 4th group 34.5%. The volume and speed of intraoperational blood loss is not very dependent on the type of neuroaxial blockade.
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Anesteziol Reanimatol · Jan 2012
Comparative Study[Anesthesia during trachea intubation in newborns].
Evaluation of the effectiveness and safety of analgesics use before planned tracheal intubation in newborns. ⋯ Use of analgesics and muscle relaxants before planet tracheal intubation in full-term newborns creates favorable conditions for manipulation.