Сontribution of Imaging Techniques for Patient's Safety in Anesthesiology Practice (Review)

Зайцев, А.И.; Дубровин, К В; Svetlov, V A

doi:10.15360/1813-9779-2018-6-80-94

Cited by 2 publications

(1 citation statement)

References 91 publications

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“…Это связанно как с появлением в клинической практике новых технологий, устройств и оборудования, так и с признанием важной роли человеческого фактора в предупреждении и эффективном решении проблем ТДП. Также активно обсуждается разработка средств оценки знаний и умений ординаторов по данным вопросам, включая применение высокореалистичной симуляции для оценки умения действовать в различных критических ситуациях; определения минимального числа выполненных манипуляций в течение обучения [29][30][31]. Данные обстоятельства требуют изучения ситуации с подготовкой клинических ординаторов по указанным вопросам в РФ, выявления проблемных позиций, формулирования направлений работы по совершенствованию подготовки молодых специалистов по всем аспектам обеспечения проходимости ВДП у всех категорий пациентов в отделениях анестезиологии, реанимации и интенсивной терапии.…”

Section: рефератunclassified

The problem of “difficult airways” — multicenter studies of Federation of anaesthesiologists and reanimatologists to analyze current clinical practice and review the training system in the Russian Federation. Review

Андреенко

Dolbneva

Stamov

2019

Annals of Critical Care

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“Difficult airways” situations continue to be one of the main causes of anesthetic mortality and morbidity. Current requirements of patient safety during anesthesia determine the need for the necessary equipment and compliance with existing clinical guidelines. The situation with the equipment of hospitals in the Russian Federation with different airway devices and medical equipment, as well as the approaches used by anesthesiologists are regularly reviewed by the FAR Committee of Difficult Airways by distributing a questionnaire. During the last 10 years there has been a positive trend in the level of hospital equipment with supraglottic airways, there has been an increase in the awareness of specialists about the existing clinical guidelines. An updated version of the survey was developed to examine the current situation in the Russian Federation, to analyze the effectiveness of the approaches used to solve the problem of “difficult airways” and to evaluate the role of the existing recommendations of the FAR. The role of the human factor is decisive in the development of a significant part of critical situations during anesthesia. A modern training program for clinical residents in anesthesiology should include training in upper airways assessment, performing basic maneuvers of airways management, working out techniques for using various devices, as well as using existing algorithms of actions during “difficult airways” situations. The ability to apply theoretical knowledge and act requires training in a high-fidelity simulation and subsequent analysis of residents performance. The newly developed survey is devoted to the analysis of the situation with airways management training in the clinical residency. Based on the results of the survey, it is planned to develop a draft national airways management training program for anesthesia residents.

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Section: рефератunclassified

The problem of “difficult airways” — multicenter studies of Federation of anaesthesiologists and reanimatologists to analyze current clinical practice and review the training system in the Russian Federation. Review

Андреенко

Dolbneva

Stamov

2019

Annals of Critical Care

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Dynamics of Serum Cytokines During Resection Surgery for Malignant Neoplasms in the Lungs

Соловьев

Долгих

Новичкова

et al. 2020

Obŝaâ reanimatologiâ

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Purpose — to carry out a comparative assessment of inflammation based on evaluation of intraoperative and early postoperative dynamics of blood serum cytokines in pulmonary malignant neoplasm patients in different anesthesia and analgesia settings.Material and methods. 24 patients of 45 to 50 years of age divided into 2 groups were examined. All patients suffered from verified new onset malignant neoplasms without true signs of metastases. Tumor differentiation by morphology was not undertaken since that was beyond the study design. Patients did not receive radio- or chemotherapy. In Group I (the main group, n=12), a multimodal combined anesthesia [1] followed by extended postoperative epidural analgesia was applied. In Group II (the comparison group, n=12), a combined general anesthesia including mechanical lung ventilation followed by morphine analgesia was used. 4 study points were determined: prior to induction, and one, 12, and 24 hours post-surgery.Results. 12 hours after surgery completion, the concentration of TNFα in the main group was lesser by 57.1% vs. the comparison group; by the end of the first 24 hours, it fell down by 64.3%. Within the same period, in both groups IL-6 turned out to be significantly higher than the upper reference limit. By the end of the first 24 hours, IL-6 tend to decrease in both groups; however, in the comparison group, this parameter was 15% higher than in the main group. Serum IL-10 was within the reference range in both groups. One hour after surgery, concentrationof IL-10 was exponentially growing in both groups and exceeded multifold the upper reference limit, whereas the content of IL-10 in the main group remained reliably higher: the difference amounted to 35.6% percent.Conclusion. During the postoperative period, patients undergone lung resection displayed significant changes in cytokines concentrations demonstrating an inflammation reaction. Inflammation was significant in patients who received epidural analgesia as evidenced by an altered content of anti-inflammatory cytokines.

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Сontribution of Imaging Techniques for Patient's Safety in Anesthesiology Practice (Review)

Cited by 2 publications

References 91 publications

The problem of “difficult airways” — multicenter studies of Federation of anaesthesiologists and reanimatologists to analyze current clinical practice and review the training system in the Russian Federation. Review

The problem of “difficult airways” — multicenter studies of Federation of anaesthesiologists and reanimatologists to analyze current clinical practice and review the training system in the Russian Federation. Review

Dynamics of Serum Cytokines During Resection Surgery for Malignant Neoplasms in the Lungs

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