Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2011
Clinical Trial[Methods of analgesia in children after surgical correction of the scoliotic spinal deformities].
The research is based upon comparative evaluation of methods of analgesia in 107 patients after surgical correction of scoliotic spinal deformities, which were divided into three comparable groups. The quality of analgesia was assessed on the basis of the clinical manifestations, central hemodynamic changes and total score of pain intensity on. With a combination of narcotic and non-narcotic analgesics (group 1), adequate blockade of nociceptive impulses and comfort of the child are not being reached. ⋯ The best effect is achieved with the constant introduction of 0.2% solution of ropivacaine into the epidural space (group 3). This method provides adequate analgesia, sympathetic blockade, and a comfortable postoperative period. It allows the earlier feeding, reduces the incidence of vomiting and can be considered the method of choice.
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Anesteziol Reanimatol · Jan 2011
Clinical Trial[Cholinesterase blockers in anesthesiology: a replenishment of former arsenal].
Cholinesterase blockers are widely used in various fields of clinical medicine. In anesthesiology they are used for the means of decurarisation, as well as for performance of central segmental blockades. ⋯ The comparison group (second group) included 30 patients who were applied neostigmine. The method of clinical functional evaluation, the accelerometry and frontal electromyography confirmed that galantamine although inferior to neostigmine in efficiency, has a higher safety threshold.
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A brief historical overview of the stages of development of outpatient surgery and anesthesiology is provided. It displays features of pre-selection and evaluation of patients for pediatric ambulatory surgery, the relation to the problems of preoperative fasting, anesthesia with concomitant diseases, the relative and absolute contraindications to outpatient surgeries in children. ⋯ Compares methods of induction and maintenance of anesthesia, the possible use of volatile and intravenous anesthetics in ambulatory surgery in children, the advantages and disadvantages of given methods, as well as options for their combination with regional blocks. Pays attention to the postoperative analgesia and control of postoperative nausea and vomiting, consider their side effects.
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Anesteziol Reanimatol · Jan 2011
Review[Monitoring of skin conductance in anesthesiology and intensive care].
The purpose of the study is to examine the efficacy and safety through the introduction of a local anesthetic wound irrigation catheter for continuous postoperative analgesia in newborns. The study was conducted during the postoperative period of 33 full-term newborns. In the study group (n = 15), analgesia was carried out through the wound catheter with infusion of local anesthetic, for the control group (n = 18) continuous intravenous infusion promedol was used. ⋯ The study showed that the use of wound catheter for continuous postoperative analgesia with local anesthetics provides effective level of analgesia in newborns, which is comparable with the introduction of opioid analgesics. There were no severe postoperative complications. The method of analgesia by administering a local anesthetic through the wound catheter can be recommended for postoperative analgesia in newborns, especially during major surgeries.
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Treatment and diagnostic measures, including anesthesia during catastrophes and natural disasters are a world known problem. The paper presents the experience of anesthetic care provision during specialized surgical care to the victim children of the earthquake in Haiti. ⋯ The peculiarities of anesthesia during the treatment of wound process depending on the stage of surgery are brought into view. During the preparatory phase the optimal type of anesthesia is inhalation and intravenous anesthesia, whereas for the defect closure (main stage) all types of anesthesia, including balanced endotracheal and combined anesthesia were used.