scholarly journals Propofol-In One-Day Surgery In Children

2020 ◽  
Author(s):  
Nasibova EM
Keyword(s):  
Blood Circulation ◽  
Age Groups ◽  
Subsequent Development ◽  
Day Surgery ◽  
External Respiration ◽  
Hemodynamic Parameters ◽  
Hemodynamic Changes ◽  
Optimal Method ◽  
Surgical Interventions ◽  
Induction Stage

Aim: Optimization of anesthetic benefits in one-day surgery by using propofol. Materials: The study included 58 patients operated on for inguinal and umbilical hernias, dropsy of testicular membranes, cryptorchidism, varicocele, hemangiomas of various localization, phimosis and paraphimosis. Depending on the age of the children, this group was divided into 3 subgroups: IA (n=12) age 0-3 years, IB (n=33)-4-7 years old and IC (n=13)-8-16 years old. This study was carried out in five stages. Results: Basically, in all age groups, the performance of the cardiovascular system remained at the level of the initial values, however, certain hemodynamic changes characterizing the effect of propofol were revealed. The characteristic imbalances of the main parameters of the volumetric blood flow indicate hemodynamic stress that occurred against the background of the action of propofol in all groups during the induction of anesthesia. All this clearly and objectively characterizes the vasodilating properties of propofol, as a factor that causes the most typical changes in central hemodynamics. Indices of external respiration after premedication at the induction stage tended to decrease and indicated moderate hypoventilation. At the traumatic stage of the study, an increase in BH was observed, which was associated with the appearance of pain. Thus, propofol induction proceeded with a hypodynamic type of blood circulation. At the most traumatic time of the operation, despite an increase in the dose of fentanyl, hemodynamic parameters were hyperdynamic type of blood circulation, associated with insufficient relief of the pain component. And an increase in the dose of fentanyl led to the development of hypoventilation with subsequent apnea, which required mechanical ventilation. Thus, analyzing the results obtained, it should be noted that anesthesia during 'small' surgical interventions with propofol and fentanyl is not an optimal method. Since at the most traumatic time of the operation, it is necessary to increase the dose of fentanyl, and this leads to hypoventilation with the subsequent development of apnea, which requires correction. Conclusion: Analyzing the results obtained, it should be noted that anesthesia during "small" surgical interventions with propofol and fentanyl is not an optimal method. Since at the most traumatic time of the operation, it is necessary to increase the dose of fentanyl, and this leads to hypoventilation with the subsequent development of apnea, which requires correction.

scholarly journals HEMODYNAMIC CHANGES IN THE COMPLEX TREATMENT OF PERIODONTAL DISEASES, AND PARTIAL LOSS OF TEETH

2018 ◽  
Vol 22 (6) ◽  
pp. 288-291
Author(s):  
S. N Garazha ◽  
Malkan Abdrashitovna Amhadova ◽  
E. N Grishilova ◽  
Z. S Hubayev ◽  
D. Yu Rakhaeva ◽  
...  
Keyword(s):  
Laser Radiation ◽  
Blood Circulation ◽  
Periodontal Diseases ◽  
Hemodynamic Parameters ◽  
Complex Treatment ◽  
Partial Loss ◽  
Hemodynamic Changes ◽  
Periodontal Tissues ◽  
Steady Improvement ◽  
Metal Ceramic

Inflammatory periodontal disease is a common pathology and in some cases determine the partial loss of teeth. Studied hemodynamic indicators point to a steady improvement of blood circulation in the periodontal tissues after treatment by combination of immobilized diarizing, and laser radiation. Hemodynamic parameters of patients using clasp dentures with acrylic teeth are significantly lower than those of patients using clasp dentures with metal-ceramic teeth.

Development of the Paranasal Sinuses in Children: Implications for Paranasal Sinus Surgery

1993 ◽  
Vol 102 (9) ◽  
pp. 705-711 ◽  
Author(s):  
Gerald Wolf ◽  
Wolfgang Anderhuber ◽  
Frederick Kuhn
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinus ◽  
Paranasal Sinuses ◽  
Age Groups ◽  
Clinical Importance ◽  
Sinus Surgery ◽  
Clinical Anatomy ◽  
Surgical Interventions ◽  
Stage Of Development ◽  
Paranasal Sinus Surgery

The pediatric nasal cavity and paranasal sinuses, when compared to those in adults, differ not only in size but also in proportion. Knowledge of the unique anatomy and pneumatization of children's sinuses is an important prerequisite to understanding the pathogenesis of sinusitis and its complications. It is also important in evaluation of radiographs and in planning surgical interventions. In order to study the development of the paranasal sinuses in children and relate clinical anatomy to sinus surgery, the sinuses in 102 pediatric skulls and cadaver heads were measured. The results were classified by stage of development into 4 different age groups: newborn and 1 to 4, 4 to 8, and 8 to 12 years. The characteristics of each group and their clinical importance for paranasal sinus surgery are described.

scholarly journals Varicella disease after introduction of varicella vaccine in the US, 1995-2000

2002 ◽  
Vol 6 (7) ◽  
Author(s):  
N Noah
Keyword(s):  
Herpes Zoster ◽  
Infectious Diseases ◽  
Early Life ◽  
Varicella Vaccine ◽  
Age Distribution ◽  
Age Groups ◽  
Subsequent Development ◽  
Effective Vaccine ◽  
Routine Immunisation ◽  
The Us

Chickenpox is now one of the last of the infectious diseases of childhood that remain mostly uncontrolled. An effective vaccine has been available for many years but has not been used for routine immunisation in many countries. This is because the effect of giving the vaccine in early life on the subsequent development of herpes zoster is not known; high immunisation rates are important to ensure that the age distribution does not shift towards older age groups in whom the disease is more serious; and the disease is generally considered innocuous, especially in childhood when about 95% of infections occur.

scholarly journals Perioperative Hemodynamic Changes During Video-Assisted Thoracoscopic Decortication for empyema

2017 ◽  
Vol 11 (1) ◽  
pp. 88-96
Author(s):  
Fang-Ting Chen ◽  
An-Hsun Chou ◽  
Chun-Yu Chen ◽  
Pei-Chi Ting ◽  
Ming-Wen Yang ◽  
...  
Keyword(s):  
Lung Ventilation ◽  
Lateral Decubitus Position ◽  
Time Interval ◽  
Hemodynamic Parameters ◽  
Hemodynamic Changes ◽  
Video Assisted ◽  
Lateral Decubitus ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Background and Objective: Hemodynamic consequences during video-assisted thoracoscopic surgery (VATS) with decortication during empyema drainage are unclear. The aim of the study was to assess the perioperative hemodynamic changes decortication during empyema drainage. Methods: A prospective study enrolled 23 patients with empyema who underwent decortication. Hemodynamic parameters were continuously obtained at 15 time points: supine two lung ventilation after induction, lateral decubitus position and two lung ventilation, lateral decubitus position and one-lung ventilation, every 5 min after decortication upto 60 minutes and at the end of surgery. We divided patients into three groups according to microorganisms, group 1: patients with no growth of organism; group 2: patients with staphylococcus aureus and pseudomonas; group 3: patients with streptococcus, yeast and fungus, gram-positive bacilli, and mycobacterium tuberculosis. The hemodynamic variables were recorded by the third-generation Vigileo/FloTracTM system and variables for each time interval were compared with the baseline by Wilcoxon Signed Ranks Test. Results: In group 1, hemodynamic parameters showed no significant changes over time. However, in group 2 and 3, both CO and CI increased 10 to 15 minutes after decortication and remained elevated during the remainder of surgery. However, SVR and SVRI decreased 10 to 15 minutes after decortication in both groups, especially, with a more significant decrease noted in group 2 than group 3. Conclusion: Close perioperative hemodynamic monitoring during decortication in empyema patients is required because of potential hemodynamic disturbances especially patients with toxic microorganisms.

scholarly journals How to Perfuse: Concepts of Cerebral Protection during Arch Replacement

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Andreas Habertheuer ◽  
Dominik Wiedemann ◽  
Alfred Kocher ◽  
Guenther Laufer ◽  
Prashanth Vallabhajosyula
Keyword(s):  
Cerebral Perfusion ◽  
Circulatory Arrest ◽  
Cerebral Protection ◽  
Surgical Approaches ◽  
Optimal Method ◽  
Surgical Interventions ◽  
Emergent Strategy ◽  
Thoracic Aneurysms ◽  
Arch Reconstruction ◽  
Aortic Pathologies

Arch surgery remains undoubtedly among the most technically and strategically challenging endeavors in cardiovascular surgery. Surgical interventions of thoracic aneurysms involving the aortic arch require complete circulatory arrest in deep hypothermia (DHCA) or elaborate cerebral perfusion strategies with varying degrees of hypothermia to achieve satisfactory protection of the brain from ischemic insults, that is, unilateral/bilateral antegrade cerebral perfusion (ACP) and retrograde cerebral perfusion (RCP). Despite sophisticated and increasingly individualized surgical approaches for complex aortic pathologies, there remains a lack of consensus regarding the optimal method of cerebral protection and circulatory management during the time of arch exclusion. Many recent studies argue in favor of ACP with various degrees of hypothermic arrest during arch reconstruction and its advantages have been widely demonstrated. In fact ACP with more moderate degrees of hypothermia represents a paradigm shift in the cardiac surgery community and is widely adopted as an emergent strategy; however, many centers continue to report good results using other perfusion strategies. Amidst this important discussion we review currently available surgical strategies of cerebral protection management and compare the results of recent European multicenter and single-center data.

PATTERNS IN LIFE QUALITY CHANGES OF IRKUTSK CITY’S INHABITANTS ACCORDING TO SF-36 QUESTIONNAIRE

2016 ◽  
Vol 1 (4) ◽  
pp. 119-125
Author(s):  
Рой ◽  
Tatyana Roy ◽  
Ильичёва ◽  
Elena Ilicheva
Keyword(s):  
Adult Population ◽  
Age Groups ◽  
Life Quality ◽  
Well Being ◽  
Population Based ◽  
Individual Characteristics ◽  
Social Adaptation ◽  
Surgical Interventions ◽  
Russian Version ◽  
Sf 36

Actuality. At the moment, one of the current trends in medicine and sociology is the study of life quality in population. The motivation for this study was the lack of population-based studies on life quality assessment for adult population conducted in Irkutsk, taking into account the individual characteristics of all age groups with questionnaire SF-36.Purpose. To evaluate standard criteria for Irkutsk adult population’s life standard in terms of the age and gender by means of the standard questionnaire SF-36.Materials and methods. The article represents the interview results received from 579 Irkutsk dwellers at the age of 18–85. The Russian version of SF-36 Questionnaire has been used for the present research. The criteria were estimated according to 8scales. The levels of the respondents’ physical well-being, socio-environmental adaptation, psycho-emo-tional changes and viability were specified. Moreover, the respondents’ clinical-anamnestic status including complaints, anamnestic evidences for somatic pathology and earlier surgical interventions were evaluated as well. The received data were processed by Statistica 6.0 software with the use of nonparametric and multiple factor analysis.Results. The results determine the levels of physical functioning, social adaptation, psycho-emotional changes and the viability of Irkutsk residents of different age, gender and socio-professional groups. Conclusions. The presence of comorbidity in varying degrees affected the quality of life

Depressiveness in preoperative period and postoperative recovery of orthopedic patients - preliminary results of prospective study

2011 ◽  
Vol 26 (S2) ◽  
pp. 837-837
Author(s):  
D. Ignjatovic Ristic ◽  
V. Janjic ◽  
B. Ristic ◽  
B. Radmanovic
Keyword(s):  
Depressive Symptoms ◽  
Short Form ◽  
Age Groups ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Postoperative Recovery ◽  
Preoperative Period ◽  
Surgical Interventions ◽  
Preliminary Results ◽  
Orthopedic Patients

IntroductionDepression is often occurred after surgical interventions and may have serious consequences on postoperative recovery. The treatment of early discovered depressive symptoms may have strong influence on the recovery of operated orthopedic patients.Simple and quick instrument for detection and evaluation of depressive symptoms could be of great use to doctors.Work objectives are1) determine the prevalence of depressiveness in preoperative period in patients with scheduled surgical interventions, and2) validation of Geriatric Depression Scale - short form (GDS-SF) in detection of depressiveness.MethodA sample of 120 orthopedic patients is the part of larger sample in prospective research of depressiveness in patients in preoperative period with scheduled surgical interventions (except cardio-surgical). For estimation of depressiveness we used battery of tests (GDS-SF, BDI - Beck's depression scale, MDI - major depressive disorder questionnaire), and patients were tested 3 times: to 14 days prior the surgery, 7 and 90 days after the surgery. Validation of GDS-SF was examined compared to BDI according to age and gender of examinees.ResultsIn preliminary sample of 120 orthopedic patients with scheduled orthopedic interventions, prevalence of depressiveness is greater than prevalence of depressiveness in general population (p < 0.001). Depressiveness is much more present in women than in men (p < 0.001). Correlation of depressive scores in BDI and in GDS-SF is satisfactory for all age groups.ConclusionPreliminary results indicate on further research of depressiveness in preoperative period in order to confirm validation of GDS-SF as simpler alternative for early detection of depressiveness.

scholarly journals Kazan version of the classification of congenital heart defects of John Kirklin

2019 ◽  
Vol 64 (5) ◽  
pp. 246-249
Author(s):  
L. M. Mirolyubov
Keyword(s):  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Neonatal Period ◽  
Heart Defects ◽  
Age Groups ◽  
Point Of View ◽  
Hemodynamic Changes ◽  
The Republic ◽  
Cardiac Surgeons

The article is devoted to the analysis of classifications of congenital heart defects from a practical point of view. The researchers present their classification of congenital heart defects with the substantiation of optimal terms of surgical correction. The proposed classification allows us to predict possible critical hemodynamic conditions in children with heart defects both in the neonatal period and in other age groups. The classification creates the basis for choosing the treatment tactics of patients with congenital heart defects using the known stages of hemodynamic changes, it has been used by the cardiologists and cardiac surgeons in the Republic of Tatarstan for more than 15 years.

scholarly journals Choice of tactics of surgical treatment of acute cholecystitis and its complications

2018 ◽  
Vol 22 (3) ◽  
pp. 442-445
Author(s):  
B.S. Zaporozhchenko ◽  
K.V. Kravets ◽  
I.E. Borodaev ◽  
D.A. Bondarets ◽  
D.A. Bondarets ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Average Duration ◽  
Abdominal Cavity ◽  
Age Groups ◽  
Total Duration ◽  
Duration Of Treatment ◽  
Surgical Interventions ◽  
Emergency Operations ◽  
Surgical Tactics

Acute cholecystitis ranks second in the incidence of urgent surgical diseases in hospitals in Ukraine. Despite a marked improvement in the treatment results, the lethality after emergency operations (9,4-37%) for acute cholecystitis complicated by peritonitis remains several times higher than with routine surgical interventions. Objectives — development of rational surgical tactics and evaluation of the effectiveness of treatment of acute cholecystitis and its complications in patients of different age groups, with different pathomorphological forms of acute cholecystitis. The result of treatment of 203 patients was presented: 75 (37,5%) were operated on an emergency basis, 73 (36,5%) urgently, and 52 (26%) in a deferred period. 173 (86.5%) patients were operated using laparoscopic technologies. Intraoperative cholangiography was performed in 16 (9,3%) patients during laparoscopic interventions. In 17 (8,5%) patients, “open” operations were performed. All patients underwent drainage of the abdominal cavity with one or more drains in view of the presence of peritonitis. The average duration of the preoperative period was 1.5 days, the total duration of treatment with LC was 4.5 days, and the total duration of treatment with OC was 10.8 days. So, in the early stages of the development of acute cholecystitis, laparoscopic cholecystectomy is effective. The use of lifting systems for laparoscopic cholecystectomy is advisable in elderly and senile patients, with concomitant diseases of the heart and lungs.

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