Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Jan 2015
[Predicting of postoperative pain level and morphine consumption by preoperative pressure pain assessment in patients before elective surgery].
The aim of this study was to predict a postoperative pain severity and morphine consumption by preoperative pressure pain assessment. ⋯ Post-operative pain severity during movement at 1st postoperative day can be predicted with the pre-operative pain tolerance using the pressure algometry. There is significant moderate negative correlation between pre- operative pain tolerance and post-operative morphine consumption by PCA device in patients at 1st postoperative day.
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Anesteziol Reanimatol · Jan 2015
Randomized Controlled Trial[Effect of succinate-containing solution on the level of metabolism during perioperative period in children].
A randomized prospective study. ⋯ Reamberin 1.5% promotes to increase the level of basal metabolism in the early postoperative period, decreases the duration of awakening periods, improves recovery of motor activity and adequate breathing.
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Anesteziol Reanimatol · Jan 2015
Randomized Controlled Trial[Influence of remote ischemic preconditioning on brain injury markers dynamics during cardiopulmonary bypass].
Remote ischemic preconditioning has gained clinicians' attention as a technique to protect the heart in patients undergoing cardiac surgery under cardiopulmonary bypass. While experimental data report neuroprotective properties of remote ischemic preconditioning, we failed to find any clinical studies investigating its effects on neurologic outcome in cardiac surgery. ⋯ Our data suggest that remote ischemic preconditioning does not affect neuronal damage and neurologic outcome in patients operated under cardiopulmonary bypass.
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Anesteziol Reanimatol · Jan 2015
[Effect of prolonged epidupal analgesia on respiratory function after major laparoscopic surgery].
The article deals with a study of role of epidural analgesia, used as a part of intra- and postoperative analgesia in patients underwent major laparoscopic surgery (gastric resections, pancreas and duodenal resections, hemicolectomy, resections of colon). ⋯ major laparoscopic surgery accompanied with lower decreasing of speed and volume figures of spirometry if epidural analgesia is used as a part of intra- and postoperative analgesia.
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Anesteziol Reanimatol · Jan 2015
Clinical Trial[Dexmedetomidine as a part of analgesic component of general anesthesia for laparoscopic operations].
The article deals with a study of efficacy and safety of the dexmedetomidine as an analgesic adjuvant drug for anaesthesia during laparoscopic gynecological and abdominal surgeries. Patients and methods: 32 patients received intraoperative infusion of dexmedetomidine. We assessed an effects of dexmedetomidine on data of central circulation during surgeries. ⋯ The use of dexmedetomidine allows to decrease an amount of opioid analgesics, inhalation anaesthetics and to avoid severe changes of circulation during traumatic phases of surgeries.