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General practitioner

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 therapy, which can positively affect...
The anesthesiologist and specialist on medical emergency conditions

Propofol and dexmedetomidine in elective procedural sedation – justification for the combined use

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 depth of general ...
The anesthesiologist and specialist on medical emergency conditions

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 prevent stress ...
The anesthesiologist and specialist on medical emergency conditions

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 of the effectiveness and depth...
The anesthesiologist and specialist on medical emergency conditions

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 respiration, it is used in...
Obstetrician-gynecologist

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 participate in the delivery. On...
Obstetrician-gynecologist

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 in the postoperative period. At...
The anesthesiologist and specialist on medical emergency conditions

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 has ...
The anesthesiologist and specialist on medical emergency conditions

Justification for the combined use of Propofol and Dexmedetomidine in elective procedural sedation (literature review and personal experience)

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 ...
Neurologist

Neurological disorders in patients who had COVID-19: how to treat during a pandemic

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...
Neurologist

Methods of Correction of Neurological Disorders in Patients with Coronavirus Disease (COVID-19)

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 ...
Obstetrician-gynecologist

State of metabolic processes and ways to improve them in premenopausal women due to the Life Extension Strategy

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...