Vol 7, No 4 (2013)

Articles
Regional anesthesia for total hip arthroplasty
Zagrekov V.I.
Abstract
The overview is dedicated to the methods of analgesia for hip replacement. The author reviewed characteristics and advantages of regional methods applying for this surgery, different techniques of performing regional anesthesia in patients undergoing hip replacement. The overview include local anesthetics description and their effects during the operation and in postoperative period
Regional Anesthesia and Acute Pain Management. 2013;7(4):5-13
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Infusion of esmolol and thoracic epidural anesthesia as methods of intraoperational control of cardiac risk
Shayda O.A., Kobelyatskiy Y.Y.
Abstract
The study was performed to compare thoracic epidural anaesthesia and esmolol infusion capability to provide optimal hemodynamic conditions for myocardial functioning. The study included 45 patients with increased cardiac risk undergoing opened abdominal surgery. The patients were randomized to receive either intravenous anaesthesia or combined (intravenous + thoracic epidural) anaesthesia or intravenous anaesthesia with esmolol infusion. The study results demonstrate that thoracic epidural anaesthesia and esmolol infusion provide effective control of hemodynamic response to trachea intubation and prevent tachycardia during the procedure. B-type natriuretic peptide level decreased during surgery while using two pointed techniques in contrast to the intravenous anaesthesia alone. This fact indicates comfortable conditions for myocardial functioning and proves that these techniques are cardioprotective.
Regional Anesthesia and Acute Pain Management. 2013;7(4):14-19
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Regional blocks in patients with infantile cerebral palsy. Are they feasible outside intraoperational period?
Zabolotskiy D.V., Ul’rikh G.E., Kozyrev A.S., Umnov V.V., Novikov V.A.
Abstract
The authors present results of regional block performing for diagnostic and therapeutic purposes in children with cerebral palsy. Group 1 included patients who received regional block in order to determine the cause of upper limb contracture. This affected choice of surgery method and influenced on the results. Continuous epidural anesthesia was performed in patients who arranged Group 2. This method allowed providing successful conservative treatment of lower limb joint contractures
Regional Anesthesia and Acute Pain Management. 2013;7(4):20-24
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The Role of Regional Anesthesia in the Development of Surgical Stress Response during Major Spine Surgery
Ezhevskaya A.A., Ovechkin A.M.
Abstract
Objective: optimization of regional anesthesia for major spine surgery and the evaluation of its effects on the endocrine-metabolic and inflammatory stress response. This study included 205 patients. Two groups of patients were randomly allocated: Group 1 used thoracic epidural analgesia and general anesthesia, and Group 2 had general anesthesia. The study has shown that epidural analgesia provided better pain relief, less blood loss during and after surgery in spinal deformity surgery. The use of epidural analgesia provided better pain control, less bleeding, and a lower surgical stress response than general anesthesia during major spine surgery.
Regional Anesthesia and Acute Pain Management. 2013;7(4):25-29
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Dexmedetomidine sedation for awake carotid endarterectomy
Kulikov A.S., Shmigel’skiy A.V., Lubnin A.Y.
Abstract
43 patients undergoing awake carotid endarterectomy were assigned to receive for intraoperative sedation either dexmedetomidine or midazolam. Sedation in dexmedetomidine group was more stable than in control group. This type of sedation provided optimal level of consciousness for intraoperative neurological assessment. Hemodynamic parameters in dexmedetomidine group also were more stable. Dexmedetomidine infusion 0,7-1,4 μg/kg/h can provide safe and effective sedation for awakecarotidendarterectomy.
Regional Anesthesia and Acute Pain Management. 2013;7(4):30-34
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Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery
Forrest J.B., Camu F., Greer I.A., Kehlet H., Abdalla M., Bonnet F., Ebrahim S., Escolar G., Jage J., Pocock S., Velo G., Langman M., Bianchi Porro G., Samama M.M., Heitlinge E.
Abstract
This prospective, randomized, multicenter trial evaluated the risks of death, increased surgical site bleeding, gastrointestinal bleeding, acute renal failure, and allergic reactions, with ketorolac vs diclofenac or ketoprofen administered according to their approved parenteral and oral dose duration of treatment. Patients were followed for 30 days after surgery. It was concluded that ketorolac is as safe as ketoprofen and diclofenac for the treatment of pain major surgery.
Regional Anesthesia and Acute Pain Management. 2013;7(4):35-43
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Selected chapters from monograph «Spinal Anesthesia in Obstetrics» Respiratory disorders during spinal anesthesia
Shifman E.M., Filippovich G.V.
Abstract
The lecture includes comprehensive overview of respiratory disorders due to spinal anesthesia in parturients undergoing cesarean section. Clinical manifestation of respiratory disturbances, their diagnostics as well as methods of treatment and prophylaxis are observed and discussed in details.
Regional Anesthesia and Acute Pain Management. 2013;7(4):44-53
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Neuraxial analgesia in intensive therapy of politrauma
Dziadzko A.M., Santotskiy Y.O., Zlatogure A.V., Minov A.F., Mel’nikova Y.A., Valiusheva T.P., Bolonkin L.S., Katin M.L., Korotkov S.V., Goncharov A.A., Mikhailova G.I., Lutsenko I.I.
Abstract
The authors present detailed observation of successful treating of patient with severe polytrauma where thoracic epidural analgesia was performed not only for postoperative pain management but also for optimization of programmed continuous mechanical ventilation
Regional Anesthesia and Acute Pain Management. 2013;7(4):54-59
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Labour analgesia. Clinical guidelines
Kulikov A.V., Shifman E.M.
Regional Anesthesia and Acute Pain Management. 2013;7(4):60-70
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