Abstract. Dexmedetomidine is a fairly new and promising drug for use in intensive care and surgery. Due to the fact that it is an agonist of alpha-2-adrenoceptors, dexmedetomidine has an analgesic, sedative effect and affects hemodynamic parameters. Due to the fact that dexmedetomedin does not have the ability to suppress respiration, it is used in...
Abstract. With increasing maternal age caesarean section rates increase every year. Neuraxial anaesthesia is a method of choice for caesarean section; wide implementation of it has resulted in the reduction of maternal mortality from anaesthesia complications. Neuraxial anaesthesia also lets the patient remain conscious during birth as well as actively participate in the delivery. On...
Resume. Safe and adequate sedation during regional anesthesia is one of the issues at the current time. According to the basic principles of modern anesthesiology, safe and effective sedation should protect the patient’s psychoemotional sphere, provide absence of awareness, pain and fear during surgery as well as nausea and vomiting in the postoperative period. At...
The anesthesiologist and specialist on medical emergency conditions
Abstract. This article is devoted to the effectiveness of postoperative pain relief in surgical hospitals in Ukraine. Multicenter study of the effectiveness of postoperative pain relief in Ukraine using paracetаmol in surgical hospitals – ROZUM is descibed. The effectiveness of multimodal anal gesia and other analgesia in the postoperative period has ...
The anesthesiologist and specialist on medical emergency conditions
Procedural sedation (PS) is the technique of administering sedatives with or without analgesics to induce a condition in which the patient can tolerate unpleasant procedures while maintaining cardio-respiratory function. Planned PSs are performed with procedures of various invasiveness, painfulness and duration, but by definition, they do ...
The article provides an overview of the world literature data on lesions of the nervous system in patients who had COVID-19. The results of an open comparative study on the effectiveness of combined use of Xavron, Tivor-L and Xylat in patients with neurological disorders in the post-COVID period are also presented. The positive effect of...
Eighty-three patients with coronavirus disease were examined at the Kharkiv Oblast Clinical Infectious Hospital and divided into groups depending on the therapy prescribed. In the main group, a syndromic-pathogenetic approach “Volnorez” was added to the baseline therapy. Against the background of treatment according to the scheme, which included edaravone, a combination of ...
Increasing the duration and improving the quality of life of older age groups is a significant problem of modern medicine. Metabolic disorders in the form of diabetes mellitus type II and atherogenic dyslipidemia lead to a significant level of cardiovascular complications. It is known that the appointment of hormone replacement therapy is not able to...
INTRODUCTION: Chronic cystopathy is a widespread pathology. Intravesical hyaluronic acid (instillation) is one of the treatment options for cystopathies. This study analyzed safety and efficacy of intravesical hyaluronic acid instillations in patients with symptoms of urinary blabber disease. MATERIALS AND METHODS: A population comprising 32 patients received intravesical instillations with ...
Purpose. To assess the efficacy and safety of intravesical instillation of high molecular weight sodium hyaluronate (HMW- HA) for the treatment of radiation-induced cystitis. Methods. This prospective cohort study was conducted in seven centers in France. Eligible patients with radiation-induced cystitis were recruited between April 2020 and March 2021. A ...
The anesthesiologist and specialist on medical emergency conditions
Edaravone is a neuroprotective agent, and several studies have suggested that it may be beneficial in acute ischaemic stroke. Objectives. To assess the efficacy and safety of edaravone for acute ischaemic stroke. Main results. Authors included three trials. All three included trials were of edaravone plus another treatment compared with the other treatment alone. The...
Diabetes is an important medical and social problem, as it develops in each of the 11 adult inhabitants of the planet. In the complicated course of diabetes mellitus, ketoacidosis develops, which is the most common manifestation of acute hyperglycemia in people with both types of diabetes mellitus. The purpose of this study is to systematize...
Obstetrician-gynecologist, Orthopaedic Trauma, Surgeon, The anesthesiologist and specialist on medical emergency conditions
Background. Selection of a rational program of infusion therapy in severe trauma remains a current problem. Crystalloid solutions are used as the principal infusion media, but literature on the effects of balanced multicomponent solutions on hemodynamic profiles in patients with severe trauma is virtually absent. Objective: to investigate the possibilities for correction of ...
Summary. The administration of Rheosorbilact in the form of intravenous infusions in the setting of combined therapy of patients with purulent-septic diseases, isolated craniocerebral injuries, pneumonias, and surgical interventions for the internal carotid artery reconstruction exerts a pronounced detoxification effect, which manifests itself in the reduction in concentration of middle molecules and lipid ...
Anxiety disorders often accompany the course of cardiovascular disease and become more pronounced as they progress. Anxiety is also a frequent companion of patients with heart failure (HF). In a recent meta-analysis of 38 studies by K. Easton et al. (2015) estimated that 32% of patients with HF experience an increased level of anxiety, and...
