Khirurgii͡a
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Continued sedation has important practical implications on overcoming the physical and psychic stress which in turn, has important practical implications on the well-being of patients in conditions of intensive care unit. It is the purpose of the study to assess the quality and characteristics of sustained sedation with constant propofol (Diprivan) and fentanyl infusion. As a result of the study the inference is reached that sedation with Diprivan and fentanyl, administered as constant infusion, lends itself readily to control, and what is more, it is free of noteworthy side effects. To secure permanent sedation it is necessary to adapt the infusional rate to the clinical signs in compliance with the concrete patient and individual needs.
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Comparative Study
[The use of Diprivan in combination with the local use of lidocaine/adrenaline in operations on the neck area].
A method of anesthesia, used in 39 patients operated for neck cysts, sialadenitis and neck abscesses is discussed. The patients are divided in two groups, as follows: group one--subjected to endotracheal intubation with Diprivan, nitrous oxide, strong analgetic, myorelaxant and controlled pulmonary ventilation, and group two--patients on spontaneous respiration without intubation, maintaining unobstructed passage of the air by airways and Diprivan administration by infusion. The obtained results give sufficient ground to underscore the superiorities of this particular technique.
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Comparative Study Clinical Trial Controlled Clinical Trial
[Ketamine at low doses + etomidate or diazepam--a comparative clinical study of anesthesia in urology].
Eighty urological patients, divided in two equal groups, are anesthesized using two anaesthetic combinations: small dose kaliposol + etomidate, or diazepam. The obtained results point to a stability of the arterial pressure and pulse rate and prompt recovery, rendering the kalipsol-etomidate combination an alternative to the kalipsol-diazepam one which is well affirmed in urological practice.
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Case Reports
[Intraoperative anaphylactic shock following the percutaneous puncture of a hepatic echinococcal cyst].
This is a report on a case of severe intraoperative anaphylactic shock, developing within several hours of percutaneous puncture of a liver hydatid cyst, performed under echographic control, necessitating recovery from the shock state and discontinuation of the operative intervention. Inferences are reached regarding the most adequate treatment tactics to be adopted in handling such cases. Percutaneous puncture is discarded as a therapeutic approach because of the great risk of anaphylaxis with eventual lethal outcome, and the likelihood of severe abdominal echinococcosis development at a later period.
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In a series of fifty-two patients undergoing abdominal surgery the listed below agents for postoperative analgesia are used: moradol (M), dipidolor (D), droperidol--DNBP, fentanyl (F). The control group is given analgin. During the first six hours, M and D show optimal effect in terms of postoperative pain syndrome relief, without suppression of the hemodynamics and respiration.