Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2001
Comparative Study[Choice of the optimal scale for evaluation of the severity of sepsis in children].
Quantitative assessment of the severity of clinical status was carried out and prognostic values of PRISM III, PRISM, SOFA, APACHE II scores and scores proposed by A. Castellanos et al. and K. L. ⋯ Sensitivity, specificity, expected values of positive and negative results were evaluated for each score and their discrimination capacity was assessed by ROC analysis. Use of quantitative scores (PRISM, PRISM III, SOFA, APACHE II, and A. Castellanos') is permissible for prospective evaluation of the efficiency of intensive care in children with sepsis, PRISM being the most informative.
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Anesteziol Reanimatol · Jan 2001
Comparative Study[Oxygen transport parameters in halothane and isoflurane anesthesia with the low gas flow in children].
The efficiency and safety of low flow inhalation anesthesia for children were evaluated on the basis of oxygen transport parameters. Sixty-seven children aged 3 months to 15 years (mean age 5.7 +/- 2.5 years) were subjected to inhalation halothane and isoflurane anesthesia with fresh gas flow of 0.5 liter/min. Oxygen delivery, consumption, and tissue extraction were evaluated. Oxygen transport parameters remained optimal at all stages of anesthesia, which confirmed the safety of this method in children for routine interventions.
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Anesteziol Reanimatol · Jan 2001
Historical Article[Significance of anesthesiology and intensive care in the development of reconstructive surgery (as exemplified by the scientific school of the Academician B.V. Petrovskiĭ)].
B. V. ⋯ Introduction of neuroleptanalgesia, high-quality artificial ventilation of the lungs, prolonged regional and combined anesthesia, protection of the myocardium and brain, bronchofibroscopy, extracorporeal detoxication, assisted circulation, and computer monitoring allowed the performance of the most sophisticated interventions on the heart, aorta, lungs, esophagus, liver and bile duct, and peripheral vessels. Progress in anesthesiology and reanimatology promoted the development of new trends in reconstructive surgery, such as repair microsurgery, organ transplantation, endovascular and endoscopic surgery.
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Anesteziol Reanimatol · Jan 2001
Comparative Study[Effects of ketamine and propofol on oxygen status and blood content of the brain in children].
Near infrared spectroscopy (NIRS) was used for noninvasive measurement of oxyhemoglobin (O2Hb) and total hemoglobin (tHb) in cerebral tissue and for evaluating local hemoglobin saturation with oxygen (rSO2) and cytochrome oxidase (Cytaa3) redox status in 68 children (6-14 years) during intravenous induction anesthesia with various anesthetics. Monoanesthesia with ketamine essentially increased the level of tHb and rSO2 and decreased the oxidized Cytaa3 fraction. Combined induction with ketamine and midazolame and propofol induction did not cause notable changes in the values of cerebral oxymetry.
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Anesteziol Reanimatol · Jan 2001
Comparative Study[Combined anesthesia with blockade of nn.dorsalis penis and inhalation anesthetics in surgery of the penis in children].
The studies were carried out in 21 patients with abnormalities of the penis (coronal and penile hypospadia, webbed penis) aged 5-15 years. Central hemodynamics, heart rate, and arterial pressure were evaluated at 6 stages of anesthesia and surgery. ⋯ The nn. dorsalis penis was blocked with 0.25% marcaine in a dose of 0.1 ml/kg for each side. The results indicate that penile blockade in combination with inhalation anesthesia is an effective method for anesthesiological protection of children operated on the penis.