Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2015
[OPTIMIZATION OF PRECLINICAL TRAINING OF ANAESTHESIOLOGISTS BASED ON THE FORMATION OF PATHOGENIC SIMULATION LEARNING ENVIRONMENTS].
Simulation training has become an important component of the postgraduate training of anaesthesiologists for several reasons: organizational difficulties in obtaining primary professional skills in a clinical setting, the opportunity to study in a hospital existing pathology only and not planned in accordance with the curriculum. This increases the risk of medical malpractice of young specialist and study may be accompanied by complications and increasing the cost of treatment. In our work, we have studied the factors of continuity of preclinical and clinical stages of anaesthesiologists training in inhalation anaesthesia based on the use of modern simulation technologies. ⋯ It was also indirectly proved expectedly greater regularity and predictability of anesthesia simulation workshops. Based on the example of the clinical scenario of inhalation anesthesia we showed a possibility of formation of pathogenic simulation environment without excessive dramatization of studing environment, while maintaining the motivation of trainees. Thus, simulation training is more efficient than traditional schemes, in terms of providing the rational use of robotic systems of 6th level of realism.
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Anesteziol Reanimatol · May 2015
Clinical Trial[THE USE OF VOLATILE AGENTS FOR SEDATION IN CHILDREN IN THE INTENSIVE CARE UNIT].
Sedation is a controllable level of medication depression of consciousness during which protective reflexes, adequate breathing, and responsiveness to physical stimuli and verbal commands are retained A number of physical and psychological factors affect the psyche of patients in the intensive care unit. Central nervous system (CNS) is a primary target of action of anesthetics and analgesics, and the bi-spectral index reflects the level of sedation of CNS, regardless of what drug caused sedation. The aim of this study was to use volatile anesthetics sevoflurane and isoflurane in children for sedation in the intensive care unit. Constant use of the inhalation route of administration helps to maintain the desired level of sedation depth for the required period of time in patients who are on long-term sedation and is practical for correction.
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Anesteziol Reanimatol · May 2015
[PERIOPERATIVE MANAGEMENT IN PATIENTS WITH DISEASES OF THE CARDIOVASGULAR Yb I am IN NON-CARDIAC SURGERY (Commentary on the new European guidelines "Non-cardiac surgery: evaluation and management of cardiovascular system")].
New guidelines for the perioperative management of patients with concomitant diseases of the cardiovascular system (CVS) have been published in the beginning of 2014. The guidelines were the result of joint work of the Board of experts of the European society of cardiology (ESC) and European society of anaesthesiology (ESA). ⋯ No doubt they will be useful to all professionals involved in the process of providing medical care to patients in non-cardiac surgery with concomitant diseases of the cardiovascular system. This article, however, does not purport to be a complete summary of the cited document; it only contains, its own commentary on those provisions which are in the author's opinion the most significant and interesting.
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Anesteziol Reanimatol · May 2015
Biography Historical Article[In memory of Professor Victor Mizikov].
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Anesteziol Reanimatol · May 2015
Review[EPIDURAL ANALGESIA FOR INTRAOPERATIVE AND POSTOPERATIVE CARE IN NEWBORNS].
Anesthesia care in newborns has to be complex, balanced and safe. Nowadays epidural analgesia (EA) in neonates during intra- and postoperative period is widely used in Russia. ⋯ Newborns have special anatomy, physiology and pharmacodynamics which have to be taken in mind when EA is used. At the present moment Ropivacine (2 mg/ml) is approved for peripheral nerve blocks in newborns.