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The place of ropivacaine in modern regional anesthesia

Місце ропівакаїну у сучасній реґіонарній анестезії

Resume. The article considers the pharmacology of some local anesthetics and the possibility of their use in various fields of surgery. The results of studies on the efficacy and safety of bupivacaine and ropivacaine were analyzed. Ropivacaine has been shown to be a modern drug with minimal side effects. Key ...

ANEMIA AND CHRONIC HEART FAILURE IN THE REAL PRACTICE OF A DOCTOR

State Institution “Dnepropetrovsk Medical Academy” Chronic heart failure (CHF) with concomitant anemia is an important clinical problem requiring further study of the mechanisms of the development of anemia in CHF and optimization of the treatment of this contingent of patients. The relevance of this problem is evidenced by the following ...

CORRECTION OF IRON DEFICIENCY IN PATIENTS WITH CHF: UPDATE OF PRACTICAL RECOMMENDATIONS

Abstract. The European Society of Cardiology considers iron deficiency as a common comorbid condition in chronic heart failure (CHF) and provides recommendations for its diagnosis and treatment. Nevertheless, in clinical practice, even in developed countries, iron deficiency remains unnoticed by clinicians, and many patients with CHF do not receive replacement ...

JUSTIFICATION FOR THE COMBINED USE OF PROPOFOL AND DEXMEDETOMIDINE IN ELECTIVE PROCEDURAL SEDATION (LITERATURE REVIEW AND PERSONAL EXPERIENCE)

Summary. 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 not reach the ...

The place of modern α-2-agonists in the intraoperative sedation of trauma / orthopedic patients

Abstract. Modern traumatological operations have a number of features: duration, a large pool of age-related patients with low functional reserves, forced position of the body, operations are often under regional anesthesia with a conserved consciousness, which requires special attention from the anesthesiologist. Intraoperative sedation by intravenous agents is used to ...

Experience in the use of dexmedetomidine for sedation in patients with pneumonia in the intensive care unit

Abstract. The experience of using dexmedetomedine for sedation with respiratory disorders of varying severity has been known for a long time. This article examined two clinical cases in which dexmedetomedine was used for connection and adaptation of patients to mechanical ventilation of lungs. The purpose of the work is evaluation ...

Dexmedetomidine for sedation in intensive care (literature review and clinical experience)

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 ...

Safe sedation during cesarean section

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 ...

A contemporary approach to sedation during regional anaesthesia in gynaecology

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 ...

Multicenter study of the effectiveness of postoperative pain relief in Ukraine using paracetаmol in surgical hospitals – “ROZUM”

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 ...