Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2012
Comparative Study[Postoperative nausea and vomiting in outpatient surgery in younger children].
The article deals with the problem of postoperative nausea and vomiting in ambulatory surgery in children. This complication is the most topical in children and can be dangerous in home, leading to serious consequences. The article considers the different causes of this complication, as well as the ways of prophylaxis and treatment. ⋯ At the second stage of the study was carried out feasibility assessment antiemetic therapy for children from 1 to 3 years. 20 children were receiving ondansetron, 20 - prevention has not been carried out. Analysis of the results showed that the frequency of nausea and vomiting in "ondansetron" group was in 4 times lower in comparison with metoclopramide. The frequency of postoperative nausea and vomiting occurrence in children aged 1 to 3 years significantly lower than in the age group of 3 to 5 years.
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Anesteziol Reanimatol · Jan 2012
Comparative Study[Peculiarities of the course of the postoperative period depending on the method of general anesthesia].
Through a series of tests (Mini-Mental State Examination scale, drawing clock test, the test for memory 10 words) carried on a study of cognitive functions in perioperation period in children aged from 6 to 10 years. There were examined 45 patients, undergoing short-term operational interventions in the clinic of urology. ⋯ As a result of the carried out research it is established, that the maximum changes of cognitive functions in perioperation period were in patients of the 3rd group, which held a combined general anesthesia with the use of sevorane, fentanyl, and subnarcotic doses of ketamine. This is confirmed by the obtained dynamics in carrying out the above-mentioned tests.
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The article deals with the results of new way of nasotracheal intubation in oral surgery. The efficiency and safety of the method were studied, as well as SpO2 and etCO2 level in 50 patients during oral surgery. The results of the study have shown, that new way of two-staged nasotracheal intubation is efficient and safe, and it is accompanied by minimal number of complications. It maintains adequate SpO2 and etCO2 level during anesthesia
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Anesteziol Reanimatol · Jan 2012
[The experience of enteral feeding with nasojejunal tube in children in critical state].
The article deals with the experience of setting and use of jejunal tube in children in critical state. The terms and procedure of jejunal tube with the purpose of satisfaction of plastic and energy needs and prevention of the multiple organ failure development.