ABSTRACT
Treatment and diagnostic measures, including anesthesia during catastrophes and natural disasters are a world known problem. The paper presents the experience of anesthetic care provision during specialized surgical care to the victim children of the earthquake in Haiti. The materials of analysis were 529 anesthesias conducted to 72 children, who were in the treatment for crush syndrome, skeletal and concomitant injury. The peculiarities of anesthesia during the treatment of wound process depending on the stage of surgery are brought into view. During the preparatory phase the optimal type of anesthesia is inhalation and intravenous anesthesia, whereas for the defect closure (main stage) all types of anesthesia, including balanced endotracheal and combined anesthesia were used.
Subject(s)
Anesthesia/methods , Crush Syndrome/surgery , Earthquakes , Emergency Medical Services , Mass Casualty Incidents , Multiple Trauma/surgery , Adolescent , Child , Child, Preschool , Emergency Medical Services/organization & administration , Haiti , Humans , Infant , Infant, Newborn , Medical Missions , RussiaABSTRACT
The purpose of the investigation was to study the potentialities of magnetic resonance imaging (MRI) in the diagnosis of knee joint sarcomas. The paper presents the results of examining 13 patients of different age, shows the potentialities of the technique in the identification of knee joint sarcomas, and describes the MRI semiotics of sarcomas in both the routine study and that using contrast enhancement in lesions of bone and soft tissue elements in the presence of regional metastases.
Subject(s)
Bone Neoplasms/pathology , Knee Joint/pathology , Magnetic Resonance Imaging , Sarcoma/pathology , Adolescent , Adult , Diagnosis, Differential , Female , Humans , Male , Middle AgedABSTRACT
The author analyses his experience in performing arthroscopy in 51 children with injuries of the knee joint. 21 patients had haemarthroses of the knee joint. Arthroscopy revealed avulsion of radiopaque osteochondrous fragments in 8 of them. Arthroscopy was performed in 15 children with knee joint blocks. Meniscus injuries were revealed in 5 children and avulsions of the osteochondrous fragments were determined in 5 patients. 9 cases of posttraumatic synovitis of the knee joint were investigated; in 3 cases there were avulsions of the osteochondrous fragment and in 3 cases there was systemic pathology. Arthroscopy as a therapeutic measure was performed in 26 children. The indications for using this method are discussed.
