Anesteziologiia i reanimatologiia
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The treatment of chronic non-malignant pain is actual medical problem. Varies clinical symptoms and absents of treatment standards make those problems very difficult to manage. We presented basic concept of chronic pain and multidisciplinary stages of treatment.
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Anesteziol Reanimatol · Nov 2011
[Combined invasive methods of treatment of patients with chronic pain syndrome].
1505 patients with combined chronic pain syndrome were treated. All of them suffered from different orthopedic pathology. Lack of examination and mistakes of previous treatment lead us for this investigation. Using different kind of blocks in treating patients at the visit was a treatment method and decrease level of pain significantly during the first days, increase quality of life and motivation to recovery.
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The review contains brief description of modem anesthetic approaches used in intractable epilepsy surgery. The authors describe main types of neurosurgery operations for intractable epilepsy, as well as the basic anesthetics and anesthetic plans and their influence on the intraoperative ECoG. Another issue raised is awake craniotomy - an anesthetic method with intraoperative emergence for verbal contact between patient and psychologist. We conclude that epilepsy surgery is one of the neurosurgery fields where anesthesiologist can significantly affect the outcome of the operation.
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Anesteziol Reanimatol · Jul 2011
Randomized Controlled Trial[Using of tranexamic acid (Tranexam) for prevention and correction of coagulopathy during brain tumors removal].
The aim of the study is to estimate clinical effectiveness of fibrinolysis inhibitor Tranexam in neurosurgical patients with intracranial tumors. The medication was prescribed to 78 patients from 27 to 65 years old. The control group consisted of 57 patients. ⋯ Drainage blood loss was lower in the main group (267 +/- 23 ml a day) than in the control group (340 +/- 28 ml a day). Medication injection during diffuse bleeding from small vessels led to quick and visible bleeding reduction. Thus Tranexam decreases the risk of intraoperative blood loss in the patients with brain tumors.
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Anesteziol Reanimatol · Jul 2011
[Intracranial pressure changes during xenon anesthesia in neurosurgical patients without intracranial hypertention].
Xenon assures rapid awakening and stable hemodynamics, it also has some neuroprotective effect. This is the reason why it may become an anesthetic of choice in neurosurgery. ⋯ We report a slight increase in intracranial and a slight decrease in cerebral perfusion pressure during xenon anesthesia and show that cerebrovascular reactivity is preserved. Thus we conclude that xenon anesthesia is safe for neurosurgical patients without intracranial hypertension.