RESUMEN
The material of the research were 63 patients operated on benign strictures and esophageal cancer in the RSCS after B.V. Petrovsky. We studied the occurrence and the character of postoperative complications, dependence on initial nutritive (alimentary) status and anesthesia techniques. The main postoperative complications were of respiratory system and cardiovascular insufficiency and mainly depended on the initial degree of nutritive and used anesthesia techniques. No significant difference in the structure of postoperative complications for the patients with benign and malignant diseases of esophagus has been identified.
Asunto(s)
Anestesia General/métodos , Anestésicos Combinados , Procedimientos Quirúrgicos del Sistema Digestivo/métodos , Neoplasias Esofágicas/cirugía , Estenosis Esofágica/cirugía , Estado Nutricional , Complicaciones Posoperatorias/etiología , Adolescente , Adulto , Anciano , Neoplasias Esofágicas/complicaciones , Estenosis Esofágica/complicaciones , Femenino , Humanos , Masculino , Desnutrición/diagnóstico , Desnutrición/etiología , Persona de Mediana Edad , Complicaciones Posoperatorias/epidemiología , Respiración Artificial , Factores de Tiempo , Adulto JovenRESUMEN
Cholinesterase blockers are widely used in various fields of clinical medicine. In anesthesiology they are used for the means of decurarisation, as well as for performance of central segmental blockades. In recent years, along with the most frequently used neostigmine again an opportunity arose to use the well-known galantamine. A brief overview of the pharmacological properties of galantamine is completed by the study of its efficacy and safety in 30 patients (first group) who underwent general anesthesia with total myoplegia at a range of abdominal surgeries. The comparison group (second group) included 30 patients who were applied neostigmine. The method of clinical functional evaluation, the accelerometry and frontal electromyography confirmed that galantamine although inferior to neostigmine in efficiency, has a higher safety threshold.
Asunto(s)
Anestesiología/métodos , Inhibidores de la Colinesterasa/uso terapéutico , Galantamina/uso terapéutico , Relajación Muscular/efectos de los fármacos , Neostigmina/uso terapéutico , Bloqueo Neuromuscular/métodos , Adulto , Anciano , Anciano de 80 o más Años , Inhibidores de la Colinesterasa/efectos adversos , Inhibidores de la Colinesterasa/farmacocinética , Femenino , Galantamina/efectos adversos , Galantamina/farmacocinética , Humanos , Masculino , Persona de Mediana Edad , Neostigmina/efectos adversos , Neostigmina/farmacocinética , Resultado del Tratamiento , Adulto JovenRESUMEN
The paper presents the results of the limited multicenter sevoflurane study initiated by Abbott Lab, which was conducted in 2006. The study was undertaken to examine the efficacy and safety of sevoflurane in various anesthesia modes in patients (ASA I-III) with surgical diseases during surgical interventions into abdominal and thoracic organs and lower extremities. The study covered 96 patients. The analysis indicates that the use of sevoflurane for mask induction and anesthetic maintenance is possible and safe for patients with ASA I-III.
Asunto(s)
Anestesia por Inhalación/métodos , Anestésicos por Inhalación , Éteres Metílicos , Adulto , Anestésicos por Inhalación/administración & dosificación , Anestésicos por Inhalación/efectos adversos , Anestésicos por Inhalación/uso terapéutico , Femenino , Hemodinámica/efectos de los fármacos , Humanos , Masculino , Éteres Metílicos/administración & dosificación , Éteres Metílicos/efectos adversos , Éteres Metílicos/uso terapéutico , Persona de Mediana Edad , Respiración/efectos de los fármacos , Sevoflurano , Procedimientos Quirúrgicos Operativos/métodos , Resultado del TratamientoRESUMEN
The authors studied the changes occurring in a frontal electromyogram (fEMG) recorded by commercial anesthesia depth monitors (Alaris AEP Monitor/2, Aspect A-2000 XP, and CSM 2) as a criterion for evaluating the reduction of a neuromuscular block. Two hundred and two patients who had undergone various abdominal and colorectal interventions under total intravenous anesthesia (TIVA) or combined balanced anesthesia using volatile anesthetics were examined. The findings allow a preliminary conclusion that fEMG shows a moderate diagnostic accuracy in predicting relaxation release particularly under TIVA. fEMG is as a useful complement to clinical criteria for myoplegia management, but it is not an alternative to traditional accelerometry.