Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2013
Clinical Trial[Inhalation anaesthesia and total intravenous anaesthesia for hepatic resections].
Recently number of surgeries in patients with pathology of the liver increases. Therefore optimal and safe anaesthetic management for these surgeries is very topical. The article deals with analysis of 51 anaesthesia cases: 26 cases (51%) of multimodal balanced anaesthesia with sevoflurane inhalation and 25 cases (49%) of multimodal balanced anaesthesia with continuous propofol infusion. Both techniques provide optimal anaesthetic protection, however sevoflurane use influences on the liver metabolism more significantly.
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Anesteziol Reanimatol · May 2013
[SCD14-ST (presepsin) level monitoring in cardiac surgical patients during perioperative period].
Purpose of the study was to define prognostic ability of presepsin (sCD14-ST) as a predictor of complications in cardiac surgical patients during perioperative period. ⋯ sCD14-ST monitoring with the use of severity-of-disease scales and recent biomarkers allow to identify patients with high risk of infection complications and untoward outcomes.
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Anesteziol Reanimatol · May 2013
[Prediction of postoperative pain on the basis of the psychological characteristics of patients and standard pain stimuli].
Practical physicians do not have instruments for objective pain assessment despite recent advances of neurophysiology and pain pharmacology. The article deals with the study of relations between preoperative pain sensitivity (finger prick and venipuncture) and pain level after surgery. 60 patients involved in the study were divided into two groups. Pain sensitivity was assessed in all patients by visual analogue scale before surgery, after awaking, in 1 hour and in 3 hours after awaking and in 1 day after the surgery. ⋯ All patients were assessed by 70 criteria (54 psychological). Results of the study show that postoperative pain syndrome is affected by different psychophysiological factors. Therefore it is difficult to forecast the level of postoperative pain syndrome.
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Anesteziol Reanimatol · May 2013
Randomized Controlled Trial[Application of hyperosmotic iso-oncotic solutions for prolonged veno-venous haemofiltration in patients with gramm negative sepsis].
Dynamics of circulation and elimination of low and medium molecular weight substances and lipopolysaccharides of Gramm negative bacteria were studied during prolonged veno-venous haemofiltration in patients with Gramm negative sepsis. Positive effect of HyperHAES solution for endotoxicosis compensation has been defined in the study. HyperHAES can be used repeatedly during prolonged veno-venous haemofiltration.
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Anesteziol Reanimatol · May 2013
Randomized Controlled Trial[Controlled myorelaxation in patients with aldosteroma].
Purpose of the study was to develop techniques of controlled myorelaxation during surgeries in patients with aldosteroma. 46 patients were involved in the study. Adrenalectomy was performed by videoendoscopy from retroperitoneal access. All patients were operated under general anaesthesia with sevoflurane with obligate monitoring of neuromuscular conduction (NMC). ⋯ Controlled myorelaxation in patients with aldosteroma is possible when monitoring of neuromuscular conduction is provided. Infusion administration of esmeron provides decreasing of its consumption and high quality of myorelaxation. Sugammadex administration provides 4.7 times faster neuromuscular blockade recovery (TOF 0.9) than proserin administration without risk of neuromuscular block reverse.