Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · Nov 2011
Randomized Controlled Trial Comparative Study[Spinal anesthesia with various anesthetic agents due to endoscopic urological procedure in patient over 60 years old].
Aim of the study is to compare efficiency and safety of method of spinal anesthesia with isobaric bypivacain (5 mg/ml) and ropivacain 5 (mg/ml) during performing transurethral resection of the prostate in patients over 60 years old. Methods 38 patients (68-82 years old ASAII-ASAIII) with hyperplasia of prostate gland were examined in randomized clinical study. Two methods of anesthetic management were compared. ⋯ Hemodynamic and condition of vegetatic homeostasis in both groups were almost equal but analyzed data presented that ropivacain (5 mg/ml) influenced hemodynamic less. Results of retrospective study demonstrates that it is safer to use isobaric ropivacain (5 ml/mg) in elderly patients for spinal anesthesia in 1.5 times p = 0,007). In conclusion spinal anesthesia with isobaric bypivacain (5mg/ml) more efficient because of duration and time of development of neuroaxial block on the other hand isobaric ropivacain 5 mg/ml is safer to use in patients older than 60 years old.
-
Anesteziol Reanimatol · Nov 2011
Comparative Study Controlled Clinical Trial[Intravenous and transfusion therapy and acid-base balance during liver transplantation].
The aim of the study is to investigate the influence of intravenous fluid therapy and transfusion therapy with different amount of fresh frozen plasma and crystalloids. ⋯ IVT with equal amount of FFP and crystalloids is optimal for liver transplantation surgery because it prevents development of metabolic acidosis wich appears due to intravenous infusion large dose of crystalloids on the other had it prevent metabolic alkalosis at the end of the surgery because of considerable amount of FFP.
-
Anesteziol Reanimatol · Nov 2011
Comparative Study[Comparison of various techniques of spinal anesthesia in day surgery].
Clinical effects of various techniques of spinal anesthesia in day surgery were studied. Duration of anesthesia, time of block beginning, the spread of sensor and motor block was assessed. The episodes of hypotension were associated with one side spinal anesthesia. In a group with Suddle block the blood pressure was normal as well as hemodynamic those patients had no need of intravenous fluid therapy or other drugs.
-
Anesteziol Reanimatol · Nov 2011
Comparative Study[Role of regional anesthesia in prevention of postoperative respiratory dysfunction].
The aim of the study is to evaluate postoperative respiratory dysfunction in abdominal surgery based on level of invention and type anesthesia and postoperative pain management. ⋯ extended-release epidural anesthesia was beneficial effects on postoperative respiratory dysfunction and reduces rate of pneumonia postoperatively.
-
Anesteziol Reanimatol · Nov 2011
Case Reports[Effective epidural anesthesia for cesarean section in parturient woman with type I mucopolysaccharidosis (Hurler's syndrome)].
Mucopolysaccharidosis is genetically determined disease caused by the deficiency of one of the lysosomal enzymes involved in the glycosaminoglycan (GAG) breakdown pathway. This metabolic block leads to the accumulation of GAG in various organs and tissues and affects nerve system, eyes, internal organs and musculoskeletal system. The reviewer of various articles on pubmed showed only one article about epidural anesthesia in patient with type I mucopolysaccharidosis. Our observation allows to consider that epidural anesthesia with ropivacaine is possible and safe in patients with type I mucopolysaccharidosis.