The number of patients with osteoarthritis large joints in the Russian Federation may reach 4 million, demand for knee arthroplasty estimated at approximately 300,000 procedures annually. Improved diagnostics, increased life expectancy, and advancements prosthetic technologies have driven rise arthroplasties. However, unresolved challenges related to anesthetic management such surgeries underscore importance effective pain during total (TKA) from both scientific practical perspectives....

Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) may be a critically important method for supporting patients with acute STsegment elevation coronary syndrome (STEMI) undergoing percutaneous intervention (PCI) in high-risk settings. Objective: to demonstrate the effectiveness of ECMO patient severe cardiovascular insufficiency against background myocardialischemia conditions ongoing intensive care Clinical observations: case use VA-ECMO before PCI 63-year-old multiple occlusive...

BACKGROUND: Analgesia is crucial in the treatment of patients with acute pancreatitis, which includes increased use regional analgesia. In recent years, less-invasive and safer methods pain relief, particularly erector spinae plane block (ESP-block), has drawn attention from anesthesiological community. However, studies on its pancreatitis are rare. OBJECTIVE: Our aim was to make a clinical evaluation bilateral pancreatitis. MATERIALS AND METHODS: A pilot prospective randomized study...

During the postoperative period, cardiological complications occupy first position regarding morbidity and mortality rates. They depend on various factors such as compromised cardiovascular history type of surgical intervention, features anesthesia, water balance care patient. To prevent complications, one should reply two questions: is there a risk in perioperative period how to avoid them. The article presents review literature current views assessment cardiac risks patients undergoing...

Objective: Effect of perioperative intravenous lidocaine infusion after video-assissed toraxoscopic lobectomy. Materials and methods. 90 patients who underwent lobectomy with a video assisted thoracoscopic method were examined. In the first group (n = 30) for analgesia, was used, in second - narcotic analgesics, third epidural analgesia used. An evaluation extubation time severity perspiratory response to endotracheal tube performed. The intensity postoperative pain syndrome assessed on...

Objective. To assess the effect of infusion lidocaine solution in patients after extensive abdominal operations. Material and methods. Were examined 42 with cancer pancreas, which is made pancreatoduodenal resections. The were divided into two comparable groups. Patients first group (n=21) before surgery injected bolus 1.5 mg/kg lidocaine, followed by at a rate mg/kg*h during 24 hours surgery. second started epidural 0.2 % ropivacaine 5 ml/h. intensity pain syndrome was evaluated on VAS rest...

A case of early physical rehabilitation a female patient with severe pandemic influenza А / H1N1 complicated by pneumonia and acute respiratory distress syndrome (ARDS) is described in the article. Lymphatic drainage lower extremities lungs chest vibration were used under mechanical ventilation after achieving clinical stability at day 2 staying ICU. Postural combination upper Sims’ position 3. Active exercise stretch band cognitive therapy (reading books, listening to music, occupational...

Acute pos t-o perative respiratory failure is a dangerous complication developing after thoracic surgery. The objective of the study: to assess potential use albuminemia, glycemia and leukocytosis as markers acute Subjects methods. A retrospective study was conducted enrolling 300 patients, which were divided into two groups – those who developed ( n = 150) didn't 150). level degree albumin reduction comparatively analyzed in early period. Results. correlation found between ratio PaO 2 /F iO...

Objective. Assessment of rectus sheatus block effectiveness after major abdominal surgery. Material and methods. 120 patients gastrectomy pancreatoduodenal resections were examined. In the postoperative period, 1st group (n = 40) given epidural infusion 0.2% solution ropivacaine 5 ml / h, 2nd 3rd groups in introduced 10 a 0.375% with an interval 8 hours constant ml/h bolus administered respectively. The intensity pain syndrome was assessed at rest during mobilization, frequency need for...

Atrial fibrillation (AF) remains to be one of the most common complications that occur after thoracic surgery; its frequency makes from 4 37%. This type complication can significantly extend recovery period for patients anatomic lung resection and increase short-term long-term mortality. Subjects methods . Data 183 who underwent extensive resections due malignant neoplasms were retrospectively analyzed. The following was evaluated: impact surgery approach (thoracotomy or VATS) resection,...

Background . Prediction of cardiac complications following orthopaedic and trauma surgery is necessary to improve the quality treating elderly patients. Objective. To assess effectiveness prognostic scores perioperative risk in patients with proximal femoral fracture. Material methods. We retrospectively reviewed 918 hospital hip fracture from January, 1 2018 December, 31 2019. Perioperative risks were assessed using Goldman Risk Index, Revised Cardiac Index (Lee Index) Gupta Index. Results....

The authors admit the risks of blood transfusion, as well fact that is a limited resource. These conclusions became basis research in order to make an analysis and develop transfusion strategies hospital. An assessment components application was performed specific cases. There changed management further monitoring continued. It shown efficacy introduction new strategy confirmed decrease rate inappropriate transfusions, quantity patients who obtained allogenic result, methods reduced number...

Introduction. Pain in the intensive care unit is a common problem patients with acute pancreatitis of various etiologies. Given severity pain syndrome, as well low effectiveness nonsteroidal anti-inflammatory drugs or antispasmodic therapy, it often necessary to resort administration opioid analgesics epidural analgesia. Each these management methods has certain disadvantages and contraindications, which makes urgent search for safe effective method relieving pancreonecrosis.Goal. To...

Objective. Assessment of the efficacy and safety epidural morphine in patients with severe concomitant injury.
 Material methods. 70 combined injury (1745 points for ISS) were divided into two groups: group 1 (n = 37), 2 mg was administered epidurally followed by infusion 0.4 / h, 2nd 33), intravenous administration fentanyl used at a rate 50100 g h. The level pain syndrome assessed 10-point visual analogue scale (VAS). mean arterial pressure (MAP) heart (HR) rest activation recorded,...

Background. Postoperative delirium is one of the most severe and common complications thoracic surgery in elderly patients. Objective. To establish a simple accurate method for predicting development postoperative patients after surgery. Material methods. We performed an observational cohort study 303 who underwent lobectomy oncological diseases. The nature anesthesia surgical intervention, features volume status hemodynamic changes during perioperative period were analyzed, laboratory...

Extracorporeal membrane oxygenation (ECMO) has been used for more than 20 years in the treatment of severe respiratory distress syndrome. However, ECMO some categories patients is not sufficiently covered literature, due to a small number registered cases. This group includes pregnant women and labor. During intensive care such patients, entire available range therapeutic manipulations measures that can favorably affect outcome disease should be used. We have describe clinical case...

Introduction Fractures of the proximal femur often occur in elderly and senile patients. Most them have an unfavorable comorbid background. In this regard, there is a high risk complications postoperative period, which requires development implementation effective forecasting model clinical practice designed to take measures avoid adverse treatment outcomes. Objective To develop regression predict probability lethal outcome within 30 days after surgery patients with fracture. Material...