Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 2010
[Changes in brain bioelectrical activity during xenon anesthesia in neurosurgical patients].
Xenon is a promising anesthetic agent in neurosurgery. However, there is now little evidence on the effect of xenon at anesthetic concentrations on brain electrical activity, which limits its use in neurosurgical patients. ⋯ Xenon did not induce paroxysmal activity. The findings suggest that the use of xenon anesthesia in neurosurgical patients is safe in terms of its impact on brain bioelectrical activity.
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Anesteziol Reanimatol · Mar 2010
[Sanitary-bacteriological control of artificial ventilation apparatuses in the prevention of nosocomial respiratory tract infections in a surgical hospital].
Airway damage in intensive care unit patients at surgical hospitals is a common manifestation of nosocomial pyoseptic infections. Artificial ventilation (AV) apparatuses used in a therapeutic and diagnostic process are vital to the transmission of their pathogens. ⋯ In this connection, their microbial contamination should be evaluated without fail when the higher rate of nosocomial respiratory tract infections is recorded in patients. Decontamination of the most important parts and surfaces of AV apparatuses and control over medical staff's hand scrubbing can upgrade the quality of measures to prevent respiratory tract infections in patients.
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Anesteziol Reanimatol · Jan 2010
[Hypernatremia as a predictor of poor outcomes in children with severe brain injury].
The aim of the study was to elucidate a relationship between the development of hypernatremia and the frequency of poor outcomes in children with severe brain injury (SBI). The retrospective study enrolled 77 children (54 boys and 23 girls) aged 1 month to 18 years, who had SBI in the period of January 2008 to September 2009, and were divided into 3 groups after treatment termination. The admission injury severity criterion was Glasgow coma scale (8 scores or less) rating. ⋯ Poor outcomes (Glasgow outcome scores of 1-3) at 30 days were noted in only Groups B and C: comparison of outcomes in Groups B and C showed the higher incidence of poor outcomes in 10 (84%) Group C patients (with hypernatremia and polyuria) and 4 (28%) children in Group B. Comparison of Groups B and C children indicated that the hazard ratio was 0.3. Therefore, the risk of poor outcomes is much higher in the development of central diabetes insipidous in the presence of hypernatremia.
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Anesteziol Reanimatol · Jan 2010
Clinical Trial[Methods of anesthesia during surgical treatment for scoliosis in children].
Various anesthetic methods during surgical simultaneous double-stage correction of scoliotic deformity in the spine were analyzed in 73 children. Analgesic quality was assessed from central hemodynamics and some biochemical parameters of stress, the volume of blood loss, and the number of complications. ⋯ In 33 children, this general anesthesia mode was added by epidural analgesia with 1% morphine solution in 10-12 ml of a solvent. Epidural morphine analgesia used in the complex of general anesthesia upgraded the quality of nociceptive defense, substantially decreased the consumption of systemic narcotic analgesics, an anesthetic, and relaxants, lowered blood loss by 10%, and reduced the number of postoperative complications by 20%.