Anesteziologiia i reanimatologiia
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The literature review concisely considers a relatively new problem of postoperative cognitive disorders occurring in surgical patients. The paper considers the present views of the etiology of postoperative cognitive disorders and their contributing and aggravating factors. Particular emphasis is laid on a factor, such as a surface anesthetic level and sudden intraoperative consciousness recovery, as well as on the prevention of this complication through the monitoring of anesthesia depth.
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Anesteziol Reanimatol · May 2009
Case Reports[Role of multicomponent neuromonitoring in the determination of intensive care tactics in a female patient with subarachnoidal hemorrhage due to cerebral arterial aneurysmal rupture].
The paper describes a case of aneurysmal subarachnoidal hemorrhage in a female patient during intensive care involving the whole set of the latest neuromonitoring parameters: intracranial and cerebral perfusion pressure, brain tissue oxygen tension and temperature, as well as a set of biochemical parameters studied by the tissue microdialysis technique. The high diagnostic value of the parameters that cannot be changed by any other neuromonitoring modalities is shown.
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Anesteziol Reanimatol · May 2009
Case Reports[A case of early postoperative posttransfusion-associated lung injury (TRALI) in a female patient with giant intracranial meningioma and massive intraoperative blood loss].
The paper describes a case of the relatively rare complication transfusion-associated lung injury (TRALI) in the early postoperative period in a female patient who has experienced intraoperative massive blood loss and blood transfusion. It also considers the causes of this complication, its clinical symptoms and differential diagnosis, as well as a package of therapeutic measures and possible lines of prevention.
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Anesteziol Reanimatol · May 2009
Case Reports[Positional damage of the sciatic nerve during neurosurgical intervention into the posterior cranial fossa in the sitting position].
The paper describes a rare case of severe, but reversible bilateral damage to the sciatic nerve (compression neuropathy) in a patient with Blumenbach's clivus meningioma developing during 12-hour operation removing the tumor in the patient's sitting position on the operating table. The etiology and prevention of this complication are discussed.
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Anesteziol Reanimatol · May 2009
Case Reports[Complication due to invasive hemodynamic monitoring: formation of vast hematoma of the thigh].
The paper describes a case of the hemorrhagic event--as high as 1500 ml hematoma--resulting from femoral arterial catheterizing puncture for invasive hemodynamic monitoring in a seriously ill neurological care unit patient. The causes of this complication and possible ways of its prevention are discussed.