Anestezjologia intensywna terapia
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Anestezjol Intens Ter · Jan 2009
Randomized Controlled Trial Comparative Study[Comparative study of postoperative analgesia after intrathecal administration of bupivacaine with fentanyl or morphine for elective Caesarean section].
Various opioids have been recommended for spinal anaesthesia during Caesarean section. The aim of this prospective randomized, double-blind study was to compare the quality of postoperative analgesia and adverse effects after intrathecal administration of 0.5% hyperbaric bupivacaine (HB) combined with either morphine or fentanyl. ⋯ Both intrathecal morphine and fentanyl significantly reduced the intensity of postoperative pain. Morphine increased the duration of postoperative analgesia and reduced the demand for rescue meperidine.
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Anestezjol Intens Ter · Jan 2009
Randomized Controlled Trial Comparative Study[Effectiveness and safety of unilateral spinal anaesthesia].
The purpose of the study was to evaluate the effectiveness and safety of unilateral spinal anaesthesia and to compare this technique to the commonly used bilateral technique in a prospective, controlled, randomized study. ⋯ Unilateral spinal anaesthesia is safe. The dose of bupivacaine is lower and haemodynamic stability is better. The technique is more time consuming, compared to standard spinal anaesthesia and the patient's cooperation is essential.
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Anestezjol Intens Ter · Jan 2009
Randomized Controlled TrialPiracetam improves children's memory after general anaesthesia.
Surgery and anaesthesia may account for postoperative complications including cognitive impairment. The purpose of the study was to assess the influence of general anaesthetics on children's memory and effectiveness of piracetam for prevention of postoperative cognitive dysfunction. ⋯ The study results confirm that general anaesthesia affects the memory function in children. Piracetam is effective for prevention of postoperative cognitive dysfunction after anaesthesia.
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Anestezjol Intens Ter · Jan 2009
Comparative Study[Small volume resuscitation for acute intraoperative haemorrhage: comparison of 7.5% saline and 6% hydroxyethyl starch].
The immediate effect of acute haemorrhage is a significant reduction in tissue blood flow, frequently resulting in haemorrhagic shock. The main aim of resuscitation after bleeding is the immediate restoration of intravascular volume. Intravenous administration of volume expanders should be commenced immediately, regardless of whether they are colloids or electrolytes. The purpose of the study was to analyze haemodynamic changes during intraoperative acute bleeding and to compare the effects of intravenous infusion with 7.5% saline solution to 6% starch solution on the volume resuscitation process. ⋯ Small volume resuscitation with 7.5% saline or starch can be regarded as an efficient and effective method for restoring intravascular volume.
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Anestezjol Intens Ter · Jan 2009
[Reversal from non-depolarising neuromuscular blockade in the postoperative period].
Postoperative residual curarisation (PORC) is a serious and underestimated problem and may occur even after relaxation with medium-acting non-depolarising agents. ⋯ The clinical assessment of neuromuscular blockade reversal did not allow for detection of PORC. Neostigmine was not fully effective in reversal.