Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 2007
[Alveolar opening maneuver (mobilization) in intraoperative pulmonary oxygenizing dysfunction in cardiosurgical patients].
The purpose of the study was to investigate arterial oxygenation and hemodynamics during and after alveolar mobilization in the early post-cardiopulmonary bypass (CPB) period of cardiac surgery. The study involved 21 patients aged 30 to 73 years, who had a PaO2/FiO2 below 300 mm Hg in the early post-CPB period. PaO2/FiO2 was less than 200 mm Hg in 4 patients. ⋯ Hemodynamic parameters returned to the baseline levels after alveolar mobilization. There were no significant hemodynamic complications. It is concluded that alveolar mobilization is an effective technique in improving arterial oxygenation and lung biomechanics in cardiosurgical patients under anesthesia.
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Anesteziol Reanimatol · Mar 2007
Randomized Controlled Trial[Use of vasopressin to correct hemodynamic disorders in patients with abdominal sepsis].
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Anesteziol Reanimatol · Jan 2007
[Modern inhalational anesthesia in pediatric maxillofacial surgery].
The paper deals with the use of sevoflurane and isoflurane in elective pediatric maxillofacial surgery. Having outlined the major features of anesthesia in this category of patients, the authors emphasize the application of the conception of the minimum alveolar concentration (MAC) and its derivatives (MAC bar and MAC awake) reflecting the analgesic and hypnotic power of an inhalational anesthetic, respectively, and theoretically substantiate the use of certain anesthetic concentrations at particular stages of surgery. The technique described in the paper was used in 82 patients aged 1.5 months to 18 years, undergoing cleft lip and cleft palate repair, residual lip and nose deformation repair, and other elective maxillofacial procedures. ⋯ Hemodynamics was characterized by moderate controlled hypotension with an average decrease in mean blood pressure by 30% of the age-related value. Emergence occurred 5-15 min after an anesthetic was discontinued. By and large, the technique demonstrated its efficiency and safety in this group of patients.
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Anesteziol Reanimatol · Jan 2007
Comparative Study Clinical Trial[Balanced spinal-epidural anesthesia in pediatric orthopedics].
The problem of spinal epidural anesthesia used in pediatric surgery has been inadequately studied. This investigation was undertaken to develop a balanced spinal epidural anesthesia schedule and to analyze its efficiency during orthopedic operations on the lower extremities in 119 children aged 2 to 16 years. Preference is given to sequential subarachnoidal and epidural space punctures via the same access. Comparative assessment of monitored indices during surgery and a need for postoperative analgesia in the groups of patients with conventional general anesthesia (n = 60) and those who had undergone spinal epidural anesthesia (n = 59) demonstrated a reliable intraoperative and early effective postoperative analgesia after balanced spinal epidural anesthesia.