RESUMO
The article summarizes the experience of reanimation care to the wounded in Afghanistan, analyses intensive care requirements, as well as the frequency of application of its methods, determines the contents of emergency medical care in the course of treatment in intensive care units. The author has his own opinion concerning the principles of reanimation care management at evacuation phases in cases of mass casualty admission during "major" war.
Assuntos
Medicina Militar , Ressuscitação , Guerra , Afeganistão , Cuidados Críticos , História do Século XX , Humanos , U.R.S.S.Assuntos
Anestesia Geral , Antioxidantes/farmacologia , Ketamina , Psicotrópicos/farmacologia , Período de Recuperação da Anestesia , Animais , Diazepam/farmacologia , Relação Dose-Resposta a Droga , Atividade Nervosa Superior/efeitos dos fármacos , Masculino , Camundongos , Ratos , Fatores de TempoRESUMO
An experience with anesthesiological maintenance of 622 operations for acute appendicitis has shown that in 50% of the cases general anesthesia is expedient. In most patients of this group it can be maintained by non-inhalation means, mainly by Ketamine against the background of spontaneous respiration.
Assuntos
Anestesia Geral , Apendicite/cirurgia , Doença Aguda , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medicação Pré-AnestésicaRESUMO
The operational principle of the new mass-spectroscopic device for determining the gas content in blood is based on extracting gases from blood samples into vacuum volume and measuring their content with mass spectrometer. The increased sensitivity and measurement accuracy are achieved by raising the pressure of gases during the process of freezing out the water vapors as well as by making use of calibrating gas. About 0.5-1.0 ml of blood are enough for the analysis. The low pressure in the extraction chamber favors complete removal of gases from the sample without using hemolyzing reagents. Besides O2 and CO2 it is possible to determine the content of other gases including narcotic and inert gases.
Assuntos
Gasometria/métodos , Espectrometria de Massas/métodos , Gasometria/instrumentação , Humanos , Espectrometria de Massas/instrumentaçãoRESUMO
An analysis of 61 anesthesias in continuous reconstructive operations has been made. Neuroleptanalgesia and monoanesthesia were used. Both methods were sufficiently effective. However, more favourable course of the nearest postoperative period was noted after Ketamine anesthesia.