Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jul 2012
Case Reports[Myorelaxation tactic with sugammadex in surgery with neurophysiological monitoring].
The case contains description of spinal intramedullary tumor removal with neurophysiologic monitoring. It required well controlled neuromuscular blockade. For this purpose anesthesiologist used sugammadex, specific antagonist of steroid neuromuscular blocking agents.
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Anesteziol Reanimatol · Jul 2012
[PO.1 index as a predictor of successful extubation in patients after posterior fossa tumors removal].
The goal of the study was to assess the clinical value of PO. 1 index for prognosis of successful weaning from mechanical ventilation in patients after posterior fossa tumors removal. 25 patients were involved in the study. 15 patients were successfully extubated in 24 hours time after surgery and 10 patients had prolonged mechanical ventilation. PO. 1 indexes in both groups were assessed and compared. ⋯ In successfully extubated patients the elevation of PO. 1 index during spontaneous breathing test was noted In the second group there was no such an effect. Elevation of PO. 1 index during spontaneous breathing test predicted successful extubation with 100% sensitivity and 80% specificity.
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Anesteziol Reanimatol · Jul 2012
[Intracranial, cerebral perfusion pressure and systemic hemodynamic parameters during anesthesia induction in patients with traumatic brain compression].
The study reports the dynamic of ICP, CPP and systemic hemodynamic rates during midazolam induction of anesthesia in patients with traumatic brain compression. Patients who need urgent surgery to eliminate brain compression of various degrees generally have intracranial hypertension. ⋯ Depolarizing neuromuscular blocking agents' administration, mechanical ventilation and tracheal intubation lead to ICP elevation and CPP decreasing. The combination of midazolam and fentanil provides more reliable protection from hypertensive reactions.
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The review describes postoperative disorders of the cognitive functions' (memory attention, speech, abstract thinking etc.) which is known as POCD. Frequency of POCD depending on pathology and age of patients, type of surgery and anesthesia is considered. Risk factors of POCD, especially advanced age and initial cognitive disorders are also noted. Modern diagnostic, treatment and prophylaxis facilities are discussed.