Anesteziologiia i reanimatologiia最新文献_第5页

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 DOI: 10.18821/0201-7563-2017-62-1-63-68

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

{"title":"TREATMENT OF CHYLOTHORAX - ANESTHESIOLOGICAL OR SURGICAL PROBLEM?.","authors":"V. D. PRrhin, M. A. Vvzhiaina, A. A. Bunvatvan, A. Parshin, S. Zhukova","doi":"10.18821/0201-7563-2017-62-1-63-68","DOIUrl":"https://doi.org/10.18821/0201-7563-2017-62-1-63-68","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":"27 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":"83335569","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: 1

COMPARISON OF EMERGENCE AND RECOVERY CHARACTERISTICS OF SEVOFLURANE AND DESFLURANE IN PEDIATRIC AMBULATORY SURGERY. 七氟醚和地氟醚在儿科门诊手术中的出现和恢复特点比较。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01 DOI: 10.18821/0201-7563-2017-62-1-4-6

A. V. Lsakov, O. N. Paponov, E. G. Aaavelvan, S. M. Stenanenko

引用次数: 1

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

A U Lekmanov, D K 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 U Lekmanov, D K Azovskiy, S F Pilyutik, V M Abramova","doi":"","DOIUrl":"","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":"62 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":"36249034","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

PREDICTION OF VARIOUS FORMS OF POSTOPERATIVE ACUTE LIVER FAILURE. 预测各种形式的术后急性肝衰竭。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01 DOI: 10.18821/0201-7563-2017-62-1-73-76

S. V. Sin'kov, I. V. Zhilin, I. Zabolotskikh

{"title":"PREDICTION OF VARIOUS FORMS OF POSTOPERATIVE ACUTE LIVER FAILURE.","authors":"S. V. Sin'kov, I. V. Zhilin, I. Zabolotskikh","doi":"10.18821/0201-7563-2017-62-1-73-76","DOIUrl":"https://doi.org/10.18821/0201-7563-2017-62-1-73-76","url":null,"abstract":"165 patients over 18 years in the period from January 2014 to March 2015 were studied. The aim was to investigate the prognostic significance of known scale assessment of organ dysfunction in respect ofpostoperative hepatic failure. The development of acute liver failure was assessed on the basis of clinical and laboratory data, severity of the condition by scales MELD, Child-Turcotte-Pugh, Maddrey, Schindl, BILE score, SOFA. The paper identified the incidence offorms of acute liver failure (hepatic encephalopathy, hepatic coagulopathy, hepatorenal syndrome, systemic hemodynamic disorder mixed form) in patients after surgery on hepatobiliary system, and the dependence of the probability of their occurrence on the severity of the condition, calculated using a scales in the preoperative period. Calculated sensitivity and specificity in predicting scales investigatedforms of acute liver failure based on ROC-analysis. It was shown that the specialized rating scales have good predictive accuracy in respect of certain forms of hepatic insufficiency (Child-Tur-cotte-Pugh -for hemodynamic options and hepatic coagulopathy, MELD and SOFA scales -for hepatic encephalopathy SCHINDL -for hepatorenal syndrome and mixed forms of hepatic failure). None of the analyzed scales do not possess predictive value with respect to all forms of hepatic failure.","PeriodicalId":7795,"journal":{"name":"Anesteziologiia i reanimatologiia","volume":"12 1","pages":"73-76"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75488536","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

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 DOI: 10.18821/0201-7563-2017-62-1-60-63

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

引用次数: 2

COMPARATIVE ASPECTS OF RESPIRATORY SUPPORT VIA LARINGEAL AIR DUCTS AND ENDOTRACHEAL TUBE FOR VIDEO-ASSISTED ONKOTHORACIC OPERATIONS. 经气管导管与气管内导管呼吸支持在胸腔镜手术中的比较。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01 DOI: 10.18821/0201-7563-2017-62-1-38-42

V. A. Zhikharev, Y. Malyshev, V. Porkhanov

{"title":"COMPARATIVE ASPECTS OF RESPIRATORY SUPPORT VIA LARINGEAL AIR DUCTS AND ENDOTRACHEAL TUBE FOR VIDEO-ASSISTED ONKOTHORACIC OPERATIONS.","authors":"V. A. Zhikharev, Y. Malyshev, V. Porkhanov","doi":"10.18821/0201-7563-2017-62-1-38-42","DOIUrl":"https://doi.org/10.18821/0201-7563-2017-62-1-38-42","url":null,"abstract":"GOAL To improve patient 's recovery after video-assisted thoracoscopic lobectomies (VATSL) by laryngeal mask using. METHODS This is a comparative analysis of 74 patients underwent VATSL. In 37 patients anaesthesia consisted of sevoflurane and fentanyl, myorelaxant, respiratory support via independent ventilation of either lung. In another 37patient 's anaesthesia protocol included respiratory support performed via laryngeal mask, propofol infusion and epidural analgesia with ropivacaine 0,2% and fentanyl. During the operation in both groups we evaluated hemodynamic, arterial blood gases, leukocytes, glucose and cortisol blood level, time to consciousness restoration (Aldrete-score) and time to discharge from ICU and duration of hospital stay, frequency of complications. RESULTS Patients with ventilation through laryngeal mask showed a statistically lower stress-reaction, avoided bronchoscopy with BAL and frequency of complications. Duration of inhospital stay in patients with laryngeal mask was 7±1,3 days; in intubated patients was 11±3,2 days. CONCLUSION In case of ventilation through the laryngeal mask hyper dynamic state of circulation, glycemia, leukocytes, cortisol blood level and arterial blood pH were lower, whereas Pa CO₂ increase. The number of bronchoscopy with BAL and time to discharge from ICU and from hospital not having risk of postoperative complications --lower.","PeriodicalId":7795,"journal":{"name":"Anesteziologiia i reanimatologiia","volume":"64 1","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80895955","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

EPIDURAL ANESTHESIA IN A PATIENT WITH LUNG APLASIA AND SKELETON DEFORMATION UNDERGOING ABDOMINAL HYSTERECTOMY: A CASE REPORT. 硬膜外麻醉在腹式子宫切除术中肺发育不全及骨骼变形患者的应用:1例报告。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01

A A Kasatkin, A R Nigmatullina, A A Vorozhtsova, E L Matveeva, I G Martyshko

引用次数: 0

POLYMORPHISM OF COLLECTION, TRANSFUSION AND EFFECTIVENESS OF DONOR PLATELETS CONCENTRATES. 供体浓缩血小板采集、输注及有效性的多态性。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01

M N Gubanova, R F Ayupova, E B Zhiburt

引用次数: 0

[THE PREDICTIVE SIGNIFICANCE OF A MALLAMPATI SAMSOON & YOUNG SCORE AT OPERATIONS IN NOSE AND NASOPHARYNX AT CHILDREN]. [mallampati samsoon & young评分在儿童鼻咽手术中的预测意义]。

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01 DOI: 10.18821/0201-7563-2017-62-1-6-9

E. Ivlev, E. V. Grigor’ev, V. Zhdanov, R. V. Zhdanov, A. Yulin

{"title":"[THE PREDICTIVE SIGNIFICANCE OF A MALLAMPATI SAMSOON & YOUNG SCORE AT OPERATIONS IN NOSE AND NASOPHARYNX AT CHILDREN].","authors":"E. Ivlev, E. V. Grigor’ev, V. Zhdanov, R. V. Zhdanov, A. Yulin","doi":"10.18821/0201-7563-2017-62-1-6-9","DOIUrl":"https://doi.org/10.18821/0201-7563-2017-62-1-6-9","url":null,"abstract":"BACKGROUND The difficult airways at children happen rarely, but can lead to serious complications. MATERIALS AND METHODS Results of studying of sensitivity, specificity and predictive importance of a scale of Mallampati at 379 children aged from 3 till 17 years (ASA physical status I-II), who underwent surgery in the nasal cavity and nasopharynx, are presented in this article. Depending on result of Mallampati's score children have been distributed on 2 groups. In the first group 20 children had predictions of the difficult intubation of a trachea, 19 of them had the 3rd degree by Mallampati, 1 child had the 4th degree by Mallampati. In the second group 370 children had 1-2 class on Mallampati scale. During direct laryngoscopy, 8 patients had 3 degree on Cormack & Lehane and the 382 patients had 1-2 degree on Cormack & Lehane. The degree of the laryngoscopy's difficulty determine by results of the Mallampati Samsoon & Young. RESULTS AND CONCLUSION It is found out that sensitivity (Se) of a scale of Mallampati in modification of Samsoon & Young at children at operations in the nasal cavity and nasopharynx of 50%, specificity (Sp) of 96%, the positive predictive value (+VP) of 20%, the negative predictive value (-VP) of 99%.","PeriodicalId":7795,"journal":{"name":"Anesteziologiia i reanimatologiia","volume":"46 1","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79351809","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

PREECLAMPSIA AND IRON EXCHANGE. ARE THERE ANY COMMON PATTERNS? 子痫前期和铁交换。有什么共同模式吗?

Anesteziologiia i reanimatologiia Pub Date : 2016-11-01

Yu P Orlov, N V Govorova, V N Lukach, A V Mitrofnov, O D Dmitriva

{"title":"PREECLAMPSIA AND IRON EXCHANGE. ARE THERE ANY COMMON PATTERNS?","authors":"Yu P Orlov, N V Govorova, V N Lukach, A V Mitrofnov, O D Dmitriva","doi":"","DOIUrl":"","url":null,"abstract":"The aim: Detarmination of correlation between the level ofserm iron and hemoglobin with clinical symptoms ofpreeclampsia.Materials and methods: A prospective randomized controlled investigation of 62 women in the gestation of 30 to 39 weeks. Women were divided into 2 main groups. The first group included 38 nulliparous women with preeclampsia moderate degree (Io group) gestational age from 30 to 39 weeks, at the age of 26,8±2,7 years. The second main group included 24 nulliparous women with preeclampsia severe degree (II group) in gestational age from 30 to 39 weeks of similar age. The conditionfor inclusion in the main groups was iron supplementation in the period of total hemoglobin reducing < 115 g/l. The first control group (I) included 26 nulliparous women average 26,2±1,6 years, which admitted to a maternity hospital for planned Cesarean section. The second group (IQ included 22 healthy non-pregnant women at the age of 25,8±4,4 years. During hospitalization, before delivery and at 2 hours after delivery was investigated the concentration of total hemoglobin, serum iron, total bilirubin, creatinine, urea, endothelin-1 (immediately before delivery and after delivery). The total analyses of urine examined the number of red blood cells and white blood cells and protein concentration.Results: It''s revealed that the serum iron level has a direct correlation with the level of blood preasure (r = 0,5412 and r = 0,6229) and concentration of endothelin- with total hemoglobin (r = 0,6446 in p < 0,03) and with serum iron concentration (r = 0,7841 in p < 0,02). Conclusuion. The analysis of conducted investigation allows to approve about the pathogenetic importance of iron in the development ofpreeclampsia and post-partum complications, that require new approaches of iron during gestation.","PeriodicalId":7795,"journal":{"name":"Anesteziologiia i reanimatologiia","volume":"61 6","pages":"442-446"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36215960","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