Experimental and clinical data on the employment of assisted circulation with extracorporeal oxygenation of the blood, exchange replacement of the blood in high volumes, hemoperfusion, and hyperbaric therapy in the treatment of exotoxic shock caused by methemoglobin-forming and corrosive poisons demonstrate a high efficacy of assisted circulation in the normalization of central hemodynamics (which permits exchange replacement of the blood and hemoperfusion), of the hepatorenal function, hemostasis, and other parameters of the internal media in humans and animals. The method is recommended for wide use at large reanimation and toxicological centers.
View Article and Find Full Text PDFThe study of 34 patients with septic shock has shown that active detoxication with hemosorption leads to prompt stabilization of systemic hemodynamics with a considerable increase in oxygen delivery and consumption. When hemosorption was followed by HBO procedures the functional capacities of the cardiac muscle were improved, the elimination of anaerobic metabolism inversion facilitated, and the level of oxygen consumption normalized.
View Article and Find Full Text PDFCentral and pulmonary hemodynamic parameters have been studied by total body and transthoracic plethysmography in 60 patients before surgery, after surgery and on the 2nd, 4th and 9th day of the postoperative period. Neuroleptanalgesia and postoperative intramuscular analgesia with analgesics have been performed to control patients. Test patients during surgery and for 18 hours postoperatively have been subjected to upper thoracic epidural anesthesia with trimecaine and morphine.
View Article and Find Full Text PDFAnesteziol Reanimatol
February 1992
Acid-base parameters of the venous blood have been studied in 60 patients with lung cancer randomized into two groups prior to and following lung resection and on days 2, 4 and 9 postoperatively. In group I multicomponent endotracheal anesthesia using controlled lung ventilation and postoperative intramuscular analgesia with non-narcotic and narcotic analgesics were employed. In group II anesthesia and controlled lung ventilation were supplemented by epidural anesthesia with 2.
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