Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2001
[Assessment of adequacy of analgesia with spectral analysis of sinus rhythm variability in the maintenance of anesthesia].
A spectral analysis of the sinus rhythm (5-minute groups of cardiointervals) was made in 32 patients during anesthesia by the method of a fast Fourier transform with the estimation of the spectral density in 3 conventional ranges (HF, LF, VLF). Its indices were shown to depend on the stages of anesthesiological maintenance and operative intervention.
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Vestn. Khir. Im. I. I. Grek. · Jan 2001
Comparative Study[Experience in the use and comparative assessment of the effectiveness of crystalloid and blood cardioplegia].
Due to an increasing attention to questions of adequate protection of the myocardium and widely spread use of the method of blood cardioplegia the authors have made a comparative analysis of effectiveness of using 2 methods of cardioplegia--pharmacocrystalloid and cool blood antegrade cardioplegia: 34 patients were operated upon under conditions of extracorporeal blood circulation for aortic and mitral valve replacement. A comparison was made of 17 patients with intermittent antegrade cool crystalloid cardioplegia (group 1) and 17 patients with intermittent antegrade cold blood cardioplegia (group II). The results have shown that intermittent antegrade cool blood cardioplegia is a safe and effective method for myocardial protection during cardiopulmonary bypass.
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Vestn. Khir. Im. I. I. Grek. · Jan 2001
Comparative Study[Cerebrospinal fluid fat globules in traumatic fat embolism].
The article is devoted to the problem of diagnosis and treatment of 28 patients with cranio-cerebral injury with posttraumatic fat embolism. In 15 of them fat liquoroglobulia was diagnosed which is a reliable symptom of the cerebral form of fat embolism. ⋯ A new method--liquorosorption--was used in treatment of patients with the cerebral form of fat embolism. A disturbance of the hematoencephalic barrier is thought by the authors to be possible in such embolism.