RESUMEN
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.
Asunto(s)
Medicina Militar , Resucitación , Guerra , Afganistán , Cuidados Críticos , Historia del Siglo XX , Humanos , U.R.S.S.Asunto(s)
Anestesia General , Antioxidantes/farmacología , Ketamina , Psicotrópicos/farmacología , Periodo de Recuperación de la Anestesia , Animales , Diazepam/farmacología , Relación Dosis-Respuesta a Droga , Actividad Nerviosa Superior/efectos de los fármacos , Masculino , Ratones , Ratas , Factores de TiempoRESUMEN
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.
Asunto(s)
Anestesia General , Apendicitis/cirugía , Enfermedad Aguda , Adolescente , Adulto , Anciano , Niño , Femenino , Humanos , Masculino , Persona de Mediana Edad , Medicación PreanestésicaRESUMEN
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.
Asunto(s)
Análisis de los Gases de la Sangre/métodos , Espectrometría de Masas/métodos , Análisis de los Gases de la Sangre/instrumentación , Humanos , Espectrometría de Masas/instrumentaciónRESUMEN
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.