Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2014
Randomized Controlled Trial[Effects of remote ischemic preconditioning on perioperative period in elective aortic valve replacement].
To evaluate the effects of remote ischemic preconditioning (RIPC) on the perioperative period in elective aortic valve replacement (AVR) along different anaesthesia techniques. ⋯ Cardioprotective effect of RIPC and its effect on systemic inflammatory response should be assessed in the selected anesthesia groups. RIPC on the background of sevoflurane anesthesia reduces myocardial injury during AVR. RIPC does not reduce the severity of the systemic inflammatory response after AVR. RIPC reduces the risk of AF after AVR.
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Anesteziol Reanimatol · May 2014
Randomized Controlled Trial[Treatment of delirium in the early postoperative period after cardiac surgery].
To assess efficacy and safety of dexmedetomidine for treatment of delirium in cardiac surgery. ⋯ Dexmedetomidine provides an average target level of sedation, decreases duration of delirium and duration of stay in the ICU. Dexmedetomidine does not cause depression of respiration which allows keeping a verbal contact with patients and improving a diagnostics of pain syndrome. The most common side effect of the dexmedetomidine use is a dose-depending bradycardia.
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Anesteziol Reanimatol · May 2014
Randomized Controlled Trial[Epidural blockades use in low back pain treatment].
We studied 90 patients with radicular acute pain syndrome of lumbosacral localizations in the Petrovsky Russian Research Center of Surgery from 2009 to 2013. The patients were divided into two groups. We assessed an effectiveness of epidural blockades in complex therapy. ⋯ The treatment of radicular pain syndrome with intensity over 5 points according to visual analog scale should be started with epidural blockade with local anesthetics and small doses of steroids.
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Anesteziol Reanimatol · Mar 2014
Randomized Controlled Trial Comparative Study[Comparison of dexmedetomidine and propofol for short-term sedation in early postoperative period after cardiac surgery].
To compare the efficacy of Dexmedetomidine and Propofol for short-term controlled sedation and analgesia in the early postoperative period after cardiac surgery. ⋯ To compare with Propofol Dexmetomedine induces less sedation level and more often provides retrograde amnesia with the same duration of mechanical ventilation and awakening rate. Dexmetomedine provides its own analgesic effect and shortens the length of patient's stay in ICU. Bradycardia was noted more frequently in Dexmedetomidine while arterial hypotension, general malaise and delirium--in Propofol group.
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Anesteziol Reanimatol · Mar 2014
Randomized Controlled Trial Comparative Study[Role of migraine history in the development of postoperative nausea and vomiting in patients undergoing general and combined general-epidural anesthesia].
To assess the role of migraine history in the development of postoperative nausea and vomiting (PONV) in patients undergoing general and combined general-epidural anaesthesia. ⋯ Migraine history is a significant risk factor of PONV. Epidural component of anaesthesia does not effect on frequency of PONV in women with migraine, but Droperidolum use allows increasing the frequency of PONV.