Vol 8, No 4 (2014)


Uvazhaemye kollegi, dorogie druz'ya!

Ovechkin A.M.
Regional Anesthesia and Acute Pain Management. 2014;8(4):3-3
pages 3-3 views

Possibilities for assessment and correction of stress response in major surgery

Lyuboshevskiy P.A., Ovechkin A.M.


Present review is dedicated to the problem of systemic response to surgical injury. The authors consider the main pathophysiological aspects and clinical implications of surgical stress response. They perform comprehensive analysis of its correction including the role of various analgesic techniques. Special attention was paid to stress-limiting effect of neuroaxial anesthesia and analgesia including consideration of this effect mechanisms and means to enhance it.
Regional Anesthesia and Acute Pain Management. 2014;8(4):5-21
pages 5-21 views

Regional blockades using minimal doses of local anesthetics in surgery on clavicle

Brukhnov A.V., Kokhan Z.V., Piachersky V.G., Marochkov A.V.


The goal of the study was to determine recommendations to improve the effectiveness and safety of anesthetic management during surgical procedures on the clavicle. The article analyzes results of completed regional blockade of brachial plexus in 67 patients. Group A consisted of 27 patients who underwent brachial plexus block with ropivacaine 0.75% in the volume of 30.0 ml. Group B included 27 patients who underwent blockade of ventral spinal nerves C5, C6, C7, C8, Th1 and anesthesia superficial cervical plexus branches. Group С included 13 patients who underwent blockade of ventral spinal nerves C5, C6, C7, C8, Th1. It was found that the most effective and safe anesthesia for clavicle area surgery includes brachial plexus block of ventral spinal nerves performed with minimal doses administration of local anesthetics at C5, C6, C7, C8, Th1 level and additional block of branches of superficial cervical plexus. This technique reduces incidence of complications associated with systemic toxicity and other side effects of local anesthetic.
Regional Anesthesia and Acute Pain Management. 2014;8(4):22-26
pages 22-26 views

Particularities of perioperative pain management in patients with diseases of blood system

Shulutko E.M., Levchenko O.K., Gemjan E.G., Gorodetskiy V.M.


Perioperative pain management in patients with diseases of blood system is connected with a number of particularities due to severe disturbances of blood coagulation. The restrictions on applying of conventional analgesic methods are connected with high risk of hemorrhagic complications. This study presents possible ways to perform perioperative analgesia taking in account modern drugs effects on homeostasis.
Regional Anesthesia and Acute Pain Management. 2014;8(4):27-35
pages 27-35 views

Evaluation of dose-dependence of saddle block

Lakhin R.E., Schegolev A.V., Panov V.A.


Saddle block is a form of selective spinal anesthesia used during proctological, urological, and gynecological surgeries. A prospective randomized trial included 45 patients who had been operated on for hemorrhoids. According to the volume of an anesthetic injected into the subarachnoid space, the patients were randomized to 3 groups: 1) 15 patients received 1 ml (5 mg) of hyperbaric bupivacaine solution; 2) 15 had 1.5 ml (7.5 mg); 3) 15 had 2 ml (10 mg). The development of spinal saddle anesthesia was dose-dependent. Raising the dose of the hyperbaric solution of a local anesthetic resulted in an increase in the volume and duration of spinal anesthesia. Painful sensations appeared in 13.6% of the patients receiving its dose of 5 mg. The use of 10 mg of the anesthetic led to the development of the spinal anesthesia exceeding the volume of saddle block. The optimal dose for selective saddle anesthesia is 7.5 mg of hyperbaric bupivacaine solution.
Regional Anesthesia and Acute Pain Management. 2014;8(4):36-40
pages 36-40 views

Selected chapters from monography “Regional anesthesia in pediatrics". Continuous peripheral and central blocks in postoperative period

Aizenberg V.L., Ul’rikh G.E., Tsypin L.E., Zabolotskiy D.V.


The lecture is dedicated to the questions of postoperative analgesia in children. Complex reply to pain is considered in details. Various clinical methods of pain assessment and evaluation of analgesia effectiveness in children are discussed in the paper as well as techniques for pain relief. It is highlighted that regional anesthesia applied in children postoperatively has a number of additional advantages. The techniques of performing different regional anesthesia methods, their indications and contraindications and complication incidence are described comprehensively.
Regional Anesthesia and Acute Pain Management. 2014;8(4):41-49
pages 41-49 views

Perioperative management of patients receiving longterm antithrombotic therapy. Clinical guidelines

Zabolotskih I.B., Kirov M.Y., Bozhkova S.A., Bulanov A.Y., Vorob'yova N.A., Grigoriev E.V., Gritsan A.I., Kurapeev I.S., Lebedinskiy K.M., Lomivorotov V.V., Ovechkin A.M., Potievskaya V.I., Sin’kov S.V., Subbotin V.V., Shulutko E.M.


The guidelines present approaches to indication and interruption of long-term antithrombotic and anticoagulant therapy in perioperative period, as well as current concepts of performing regional anesthesia in patients, receiving antithrombotic and anticoagulant therapy. The guidelines are based on the Guidelines, issued by European Society of Anesthesiology, 2010, and analytical overview of recommendations of various national societies of regional anesthesia.
Regional Anesthesia and Acute Pain Management. 2014;8(4):50-66
pages 50-66 views

Planning clinical research. Question #2: Choosing of endpoints

Tikhova G.P.


The paper is devoted to the questions of correct choosing of endpoints that correspond the goal of the study as well as estimating of potential inaccuracy and bias of sample data due to particularities of different kind of endpoints. The author presents endpoints classification and considers various techniques to solve the problems arising from the endpoint nature.
Regional Anesthesia and Acute Pain Management. 2014;8(4):67-70
pages 67-70 views

History of pediatric regional anesthesia

Browm T.C.


The paper presents short historical review devoted to the methods and techniques of local and regional anesthesia and analgesia in pediatrics. The material covers the period beginning from the end of XIX century up to nowadays time and includes reports about landmark events and studies, taken place all over the world.
Regional Anesthesia and Acute Pain Management. 2014;8(4):71-77
pages 71-77 views
pages 78-79 views

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