Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · May 2007
[Infectious complications after brain tumor removal: some aspects of their prevention, diagnosis, and treatment].
A hundred and fifty-five case histories of neurosurgical patients with the complicated early postoperative period were analyzed. Early postoperative regional pyoinflammatory complications were developed in 21 (4.4%) of 481 patients. There was meningitis in 17 (3.5%) cases, ventriculitis in 2 (0.4%), and wound infection (skin flap suppuration and postoperative wound fistula). ⋯ Among them, there were pyoinflammatory complications in the respiratory system in 30 (6.2%) cases, pyonecrotic cystitis in 5 (1%), and sepsis in 2 (0.4%). Risk factors for regional and systemic complications are shown. Based on the findings, recommendations are given to prevent and treat pyoseptic complications in neurosurgical patients.
-
Anesteziol Reanimatol · May 2007
[Changes in auditory evoked potentials during abdominal surgical interventions under anesthesia].
The changes in the parameters of average latent auditory potentials (ALAP) were studied in 23 adult patients under anesthesia (ASA II-III) during elective abdominal operations. General combined anesthesia (propofol, fentanyl, and N2O) were used in Group 1 (n = 12), it was combined with epidural anesthesia (lidocaine) in Group 2 (n = 11). ⋯ When general anesthesia was applied alone, the magnitude of changes was ascertained to be significantly greater than when it was combined with epidural anesthesia. This suggests that the changes in ALAP reflect the full value and the degree of nociceptive current suppression.
-
Anesteziol Reanimatol · May 2007
[Assessment of current methods quantitating extravascular lung water and pulmonary aeration in inhomogeneous lung injury: an experimental study].
Single transpulmonary thermodilution (STTD) is a widely recognized technique for the quantification of extravascular lung water (EVLW). However, the accuracy of STTD can be substantially reduced in acute lung lesion (ALL) characterized by inhomogeneous distribution of edematous zones and major ventilation-perfusion mismatch. Quantitative computed tomography (CT) may be a helpful clinical adjunct allowing an assessment of pulmonary gas and tissue content. The purpose of the study was to compare the tissue volume index, as estimated by spiral CT (TVICT), with EVLW indices determined with STTD (EVLWISTTD), thermal-dye dilution (EVLWITDD), and postmortem gravimetry (EVLWIG) before and after oleic acid-induced ALL in sheep. ⋯ In a sheep model of OA-induced ALL, pulmonary tissue volume as estimated by quantitative CT closely correlates with EVLWI measured by dilutional methods and postmortem gravimetry.