Anesteziologiia i reanimatologiia最新文献_第3页

EXTRAVASCULAR LUNG WATER IS A PREDICTOR OF DEVELOPMENT OF MULTIPLE ORGAN FAILURE IN CHILDREN WITH SEVERE BURN INJURY. 肺血管外水是严重烧伤儿童多器官衰竭发展的一个预测指标。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01 DOI: 10.18821/0201-7563-2017-62-1-23-28

A. Lekmanov, D. Azovskiy, S. F. Pilyutik, V. M. Abramova

{"title":"EXTRAVASCULAR LUNG WATER IS A PREDICTOR OF DEVELOPMENT OF MULTIPLE ORGAN FAILURE IN CHILDREN WITH SEVERE BURN INJURY.","authors":"A. Lekmanov, D. Azovskiy, S. F. Pilyutik, V. M. Abramova","doi":"10.18821/0201-7563-2017-62-1-23-28","DOIUrl":"https://doi.org/10.18821/0201-7563-2017-62-1-23-28","url":null,"abstract":"THE AIM to determine if an increased extravascular lung water level (EVLW) would be a predictor of multiple organ failure in pediatric patients with severe burn injury. MATERIALS AND METHODS a prospective study included 33 pediatric patients with burn surface from 30 to 90% of the total body surface area, admitted to PICU. All the patients were monitored with PICCO-technology advanced hemodynamic monitoring, that included an analysis ofEVLW level every 6 hours during first 48 hours after PICU admission. RESULTS the diagnosis of multiple organ failure received according to DENVERII score. Normal values of weight indexed ELWI (extravascular lung water index)were 9-29 ml/kg for children under 1-year-oldage, 7-25 ml/kg for children from 1 to 5 years old and 5-13 ml/kg for children older than 5 years. CONCLUSIONS a normal value of height indexed ELWI was up to 315 ml/m. The height indexed ELWI level correlated reliably with multiple organ dysfunction syndrome rate in all time measurements. So ELWI can be used as a MOD prognostic factor There was no correlation between surface of burned skin and EVLW level.","PeriodicalId":7795,"journal":{"name":"Anesteziologiia i reanimatologiia","volume":"7 1","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84285873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

CLINICAL ASPECTS OF GLYCEMIC MONITORING AND CONTOL IN PATIENTS IN THE EARLY POSTOPERATIVE PERIOD. 术后早期患者血糖监测与控制的临床意义。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01 DOI: 10.18821/0201-7563-2017-62-1-69-73

V. V. Nikoda, E. A. Lishova, M. Aleshin, A. L. Shestakov, A. T. Tskhovrebov, I. A. Tarasova

{"title":"CLINICAL ASPECTS OF GLYCEMIC MONITORING AND CONTOL IN PATIENTS IN THE EARLY POSTOPERATIVE PERIOD.","authors":"V. V. Nikoda, E. A. Lishova, M. Aleshin, A. L. Shestakov, A. T. Tskhovrebov, I. A. Tarasova","doi":"10.18821/0201-7563-2017-62-1-69-73","DOIUrl":"https://doi.org/10.18821/0201-7563-2017-62-1-69-73","url":null,"abstract":"INTRODUCTION At present, no doubt enhanced by the attention of clinicians to monitor blood glucose and methods of its correction in ICU patients. Evidence of the effect of the expressed glycemic balance disorders on the results of treatment of such patients determine of the problem. Attempts to create a computer algorithm to determine the rate of insulin. The aim of the study was to investigate the efficacy and safety of the module Space glycemic control (SGC, \"BBraun Germany) with intravenous insulin therapy in patients with thoracoabdominal surgery. MATERIAL AND METHODS Single-center prospective observational study was conducted in the ICU in 50 patients in the early period after operations on the abdominal and thoracic cavity, mediastinum. RESULTS The average duration of the monitoring group with SGC was 57 hours (17 to 280 hours). The average length of the period during which the patients were recorded in the target range glycemia was 80.4% of the total time of SGC monitoring. The average value of glucose in capillary blood proved to 7,6?1,58 mmol/l. The incidence of severe hypoglycemia was 2% (1 patient). CONCLUSION Application module SGC should expedient be used in patients after extensive thoracoabdiminal surgical procedures in which recorded postoperative hyperglycemia.","PeriodicalId":7795,"journal":{"name":"Anesteziologiia i reanimatologiia","volume":"73 1","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83956767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EFFECT OF SOLUTIONS BASED ON TRICARBONIC ACID CYCLE SUBSTRATES ON TEMPERATURE RATES IN CHILDREN DURING ANESTHESIA. 基于三碳酸循环底物的溶液对麻醉期间儿童体温速率的影响。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01 DOI: 10.18821/0201-7563-2017-62-1-29-32

Y. Aleksandrovich, K. V. Pshenisnov, K. Y. Krasnosel'skiy, O. V. Yur'ev, S. A. Blinov

引用次数: 2

EFFICIENCY AND SAFETY OF BILATERAL ULTRASOUND RECTUS SHEATH BLOCK IN URGENT LAPAROTOMY. 双侧超声直肌鞘阻滞在紧急剖腹手术中的有效性和安全性。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01

I A Lovkov, D N Uvarov, E E Antipin, A A Ushakov, A A Karpunov, E V Nedashkovskiv

引用次数: 0

PROTOCOL NUTRITION THERAPY OF CRITICALLY ILL CHILDREN. 危重儿童营养治疗方案。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01

A N Shmakov, Yu S Aleksandrovich, S M Stepanenko

{"title":"PROTOCOL NUTRITION THERAPY OF CRITICALLY ILL CHILDREN.","authors":"A N Shmakov, Yu S Aleksandrovich, S M Stepanenko","doi":"","DOIUrl":"","url":null,"abstract":"The Protocol isn't seen as directive. The goal of the Protocol is to define theframes ofdiagnostic criteria and therapeutic action, within which a doctor working in an intensive therapy children have freedom of choice. The Protocol takes into account that the critical and postagressive states are characterized by the features of malnutrition, particularly manifested in the period of intensive growth (first life year). The Protocol submitted by: contraindications to artificial nutricion in any form; indications for parenteral nutrition; components ofparenteral nutrition; calculation of water and energy needs; calculation of substrate requirements; the system of \"two in one\" and \"three in one \"; monitoring the effectiveness ofparenteral nutrition; the use of adjuvants and active additives to artificial nutrition, indications for early enteral nutrition, time of the beginning of enteral nutricion and tolerance to it: trial feeding; trophic nutricion; the technique ofprobe feeding; selection offormulas for enteral nutrition; monitoring the effectiveness of enteral nutrition. The Protocol does not discuss the issues of planned nutritional preparation for surgery, nutritional support in chronic malabsorption, sipping.","PeriodicalId":7795,"journal":{"name":"Anesteziologiia i reanimatologiia","volume":"62 1","pages":"14-23"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36249033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

TREATMENT OF CHYLOTHORAX - ANESTHESIOLOGICAL OR SURGICAL PROBLEM?. 乳糜胸的治疗——麻醉还是手术?

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01

V D PRrhin, M A Vvzhiaina, A A Bunvatvan, A V Parshin, S G Zhukova

{"title":"TREATMENT OF CHYLOTHORAX - ANESTHESIOLOGICAL OR SURGICAL PROBLEM?.","authors":"V D PRrhin, M A Vvzhiaina, A A Bunvatvan, A V Parshin, S G Zhukova","doi":"","DOIUrl":"","url":null,"abstract":"Background: The progress of surgery, the widespread use in the clinic of cardiac surgery and extended lymphadenectomy in thoracic surgery led to a greater incidence of the thoracic lymphatic duct ' trauma. That is why the actuality of treatment of chylothorax and chylorrhea is increased. The aim; improvement of diagnostics, prevention and treatment results ofpatients with chylothorax and chylorrhea.Materials and methods: 37 patients (14 women and 23 men) with chylothorax had been treating with our participation in different hospitals from 2004 to 2014. The age of the patients was from 32 to 71 years. In 34 patients chylothorax occurred after surgery, in 3 patients - during the decompensation of the therapy diseases with the use of central venous catheterization, with an earlier clinic of thrombosis of the large veins of the neck.Results: Conservative therapy had good clinical effect of 83.8%. 1 patient died due to pneumonia of the single lung on the background of chylothorax developed in the postoperative period after right-sided pneumonectomy. In other cases, chylothorax was eliminated and in the late period had no recurrence.Conclusion: prevention of chylothorax depends on the experience of the operating surgeon. If there is doubt intact thoracic lymphatic duct, it has tightened with the stitching surrounding adipose tissue. Conservative therapy is the method of choice in the treatment of chylothorax. Surgery is indicated for failure of conservative therapy within the first two weeks, or when massive chylorrhea takes place.","PeriodicalId":7795,"journal":{"name":"Anesteziologiia i reanimatologiia","volume":"62 1","pages":"63-68"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CLINICAL ASPECTS OF GLYCEMIC MONITORING AND CONTOL IN PATIENTS IN THE EARLY POSTOPERATIVE PERIOD. 术后早期患者血糖监测与控制的临床意义。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01

V V Nikoda, E A Lishova, M A Aleshin, A L Shestakov, A T Tskhovrebov, I A Tarasova

{"title":"CLINICAL ASPECTS OF GLYCEMIC MONITORING AND CONTOL IN PATIENTS IN THE EARLY POSTOPERATIVE PERIOD.","authors":"V V Nikoda, E A Lishova, M A Aleshin, A L Shestakov, A T Tskhovrebov, I A Tarasova","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: At present, no doubt enhanced by the attention of clinicians to monitor blood glucose and methods of its correction in ICU patients. Evidence of the effect of the expressed glycemic balance disorders on the results of treatment of such patients determine of the problem. Attempts to create a computer algorithm to determine the rate of insulin. The aim of the study was to investigate the efficacy and safety of the module Space glycemic control (SGC, \"BBraun Germany) with intravenous insulin therapy in patients with thoracoabdominal surgery.Material and methods: Single-center prospective observational study was conducted in the ICU in 50 patients in the early period after operations on the abdominal and thoracic cavity, mediastinum.Results: The average duration of the monitoring group with SGC was 57 hours (17 to 280 hours). The average length of the period during which the patients were recorded in the target range glycemia was 80.4% of the total time of SGC monitoring. The average value of glucose in capillary blood proved to 7,6?1,58 mmol/l. The incidence of severe hypoglycemia was 2% (1 patient).Conclusion: Application module SGC should expedient be used in patients after extensive thoracoabdiminal surgical procedures in which recorded postoperative hyperglycemia.","PeriodicalId":7795,"journal":{"name":"Anesteziologiia i reanimatologiia","volume":"62 1","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36249000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EFFECT OF SOLUTIONS BASED ON TRICARBONIC ACID CYCLE SUBSTRATES ON TEMPERATURE RATES IN CHILDREN DURING ANESTHESIA. 基于三碳酸循环底物的溶液对麻醉期间儿童体温速率的影响。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01

Yu S Aleksandrovich, K V Pshenisnov, K Yu Krasnosel'skiy, O V Yur'ev, S A Blinov

引用次数: 0

EVACUATION OF PATIENTS WITH RESPIRATORY FAILURE ON EXTRACORPOREAL MEMBRANE OXYGENATION. 体外膜氧合对呼吸衰竭患者的疏散作用。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01

A V Shchegolev, D A Shelukhin, E N Ershov, A I Pavlov, A A Golomidov

引用次数: 0

APPLICATION OF APNEIC OXYGENATION IN TRACHEAL SURGERY. 屏息氧合在气管手术中的应用。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01 DOI: 10.18821/0201-7563-2017-62-1-35-38

A V Alekseev, M A Vyzhigina, A A Bunyatyan, V D Parshin, V A Titov, V Yu Lavrinenko

引用次数: 7