Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · Jan 2010
Clinical Trial[Electroencephalographic monitoring during sevofluorane and halothane anesthesia in children].
Twenty-two children aged 5 to 15 years were examined. Ten children underwent fluorothane; 12 received a combination of sevofluorane and isofluorane. EEG was continuously recorded by a 9-channel computer-assisted encephalograph via bilateral electrode placement and BIS values were simultaneously measured. ⋯ The isofluorane anesthesia stage changed EEC patterns towards a reduction in cortical rhythm with slow fluctuations. The BIS value changed from 96-99 to 19-25 with 35-40 on anesthesia maintenance and up to 82-87 on emergence. The BIS data agree with EEG readings at all anesthesia stages.
-
The purpose of the study was to define the depth of a sedative effect during continuous intravenous drug co-administration by BIS monitoring in children in intensive care units. Sixty-eight patients aged 12 to 15 years who had severe purulent abdominal processes and somatic diseases on artificial ventilation were examined. The patients were divided into 4 main groups by the types of a combination of taken drugs: sodium oxybutyrate with promedole, sodium oxybutyrate with fentanyl, sodium thiopental with promedole, and sodium thiopental with fentanyl. ⋯ At Stage II during drug co-administration, there was a significant reduction in BIS values in all the groups, which was indicative of a sedative effect. The depth of sedation therapy was estimated during infusion of each type of a combination of the drugs tested in the study. Thus, to eliminate undesirable outcomes of sedation therapy in children during continuous intravenous drug co-administration, it is necessary to monitor the depth of sedation; where possible, BIS may be used to monitor central nervous system performance.
-
Anesteziol Reanimatol · Jan 2010
[Epidural use of electrostimulation catheters in a complex of balanced anesthesia in patients with infantile cerebral paralysis].
The paper presents the results of epidural blocks using Arrow electrostimulation catheters in 25 patients with infantile cerebral paralysis for anesthetic provision of reconstructive orthopedic operations. The findings lead to the conclusion that epidural anesthesia with electrostimulation catheters provides a high anesthesia quality and safety.
-
Anesteziol Reanimatol · Jan 2010
Clinical Trial[Pre-emptive analgesia in the complex of multicomponent general anesthesia in pediatric neurosurgery].
The study enrolled 30 patients aged 2 to 18 years, who had been operated on at the Prof A. L. ⋯ The patients had undergone total intravenous anesthesia with the opioid analgesic fentanyl (3.5 microg/kg x hr), the central alpha 2-adrenoblocker clofelin (1.2 microg/kg x hr), recofol (3 mg/kg x hr) under myorelaxation (arduan, esmeron) and artificial ventilation. Assessment of a neuroendocrine response and postoperative analgesia levels by the physiological and self-appraisal scales showed the high efficacy of pre-emptive analgesia using paracetamol in the complex of multicomponent anesthesia using the central alpha 2-adrenoblocker clofelin.
-
Anesteziol Reanimatol · Jan 2010
Clinical Trial[Comparative characteristics of hydroxyzine (atarax) and diazepam in the premedication regimen in children in dental practice].
The effects of hydroxyzine, 2 mg/kg, versus diazepam, 0.5 mg/kg, given orally, on hemodynamics, respiration, and sedative background were studied. The anxiolytic effect of hydroxyzine was higher than that of diazepam. Hydroxyzine showed a minimum effect on hemodynamic and respiratory parameters in children in dental practice before oral sanitation using general anesthesia.