Vestnik Rossiĭskoĭ akademii meditsinskikh nauk / Rossiĭskaia akademiia meditsinskikh nauk
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Vestn. Akad. Med. Nauk SSSR · Jan 2005
Review[Modern technologies in pediatric diagnostics and intensive care].
New technologies of diagnostics of post-operative period complications in newborns (measure of procalcitonin level, serum wedge-shaped dehydration method), as well as introduction of discrete plasmopheresis and fiber-optic bronchoscopy via the laringeal mask, present necessery additions to traditinally used methods of treatment in a children's intensive care unit, improving the results of its work.
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Vestn. Akad. Med. Nauk SSSR · Jan 2005
Review[Fontan right heart bypass as a corrective procedure for congenital heart disease with single-ventricle hemodynamics].
Treatment of patients with complex cyanotic congenital heart disease is one of the most difficult problems in heart surgery. In a number of cases, when normal introcardiac hemodynamics is impossible to reestablish, the operation of choice consists in hemodynamic correction, which implies excluding the right heart from pulmonary circulation by rerouting venous blood directly to the lungs. ⋯ This method is associated with a relatively rare early and long-term complications. Improvement of outcomes can be achieved mainly via dividing the correction procedure into stages, including bidirectional cavapulmanal anastomosis, and via thorough selection and preoperative preparation of patients.