Современное состояние анестезиологического пособия, благодаря пополнению фармакологического арсенала и постоянному совершенствованию возможностей наркозно-дыхательной аппаратуры, стало возможным практически у любого контингента больных хирургического профиля.
Переливание различных коллоидных растворов — основа терапии многих критических состояний среди которых достаточно важной является применение их у детей с пневмониями. Предпочтительное использование коллоидов по сравнению с кристаллоидами у больных с острой дыхательной недостаточностью объясняется тем, чтосолевые растворы снижают коллоидно-осмотическое давление (КОД), повышая риск развития отека легких.
Активное внедрение методов восстановительного лечения у больных, переживших критическое состояние, способствует снижению частоты возникновения инфекционных, тромботических, трофических осложнений связанных с длительной иммобилизацией.
The activity of the warehouse of the car depot was analyzed and problems associated with the timely delivery and release of inventory items to the workshops of the enterprise were identified. A generalized diagram of the technological process of a warehouse in the automation of accounting operations is presented, which contains material and information flows, as well as the main elements that display the flow of goods. The data obtained and the developed models were used to create an automated system for managing the warehouses of the car depot, which helps to increase the throughput of the warehouse, save space in warehouses and improve the quality when fulfilling orders from shop workers.
This article analyzes the dynamic changes of macroeconomic indicators of the Russian Federation such as GDP, inflation and unemployment rate, external debt, interest rates,
etc. Factors influencing to these changes also have been investigated. We have also studied views of scientists about COVID 19 which have been impacting on the Russian economy and we have also provided some analytical data.
The purpose of the study was to evaluate the effectiveness of the selective α2-adrenoreceptor agonist dexmedetomidine for short-term controlled sedation and treatment of delirium in the early postoperative period in children after cardiac surgery. Material and Methods: Dexmedetomidine infusions were performed for sedative purposes against the background of anesthesia with Kktoprofen and trimeperidine in 28 children who underwent surgery for atrial and ventricular septal defects under general combined anesthesia and in 9 children with clinical manifestations of delirium in the early postoperative period. Results and discussion: against the background of infusions of dexmedetomidine in medium therapeutic doses, a moderate and mild level of sedation was registered, which lasted up to 8 hours. Pain syndrome did not exceed 1 point on the V\S scale in 96% of patients. Additional administration was required only in 23% of patients. Of the side effects, bradycardia (39%) and arterial hypotension (36%) were most often detected. Dexmedetomidine therapy provided the most optimal level of sedation compared with other drug combinations in children with delirium, as measured by the sedation-arousal and wakefulness scales.
The aim of the study was to evaluate the effectiveness of using dexmedetomidine for the treatment of delirium in the early postoperative period of cardiac surgery in children. Materials and methods. The study was conducted in 28 children (3*7 years old) who underwent surgery for an atrial (ASD), interventricular (VSD) septal defect under general combined anesthesia (OCA), and 9 children (3-7 years old) with clinical manifestations of delirium in the early postoperative period (POP). Upon admission of children to the ICU, after cardiac surgery, intravenous infusion (50 μg/kg/h) of dexmedetomidine was performed, and analgesic therapy was also carried out: ketoprofen. trimeperidine. The level of sedation was assessed by Ramsay. RASS-scale AJdrete score VAS-scale. In the absence of consciousness, a visual assessment of motor excitation, lacrimation, sweating, negative facial expressions, vocal signs of pain (groans) was carried out. In patients with delirium, the type of delirium, the day of occurrence, the doses of administered drugs, the duration of therapy and the duration of the episode of psychomotor agitation, the incidence of side effects, and the number of days in the ICU were assessed. Results. The use of dexmedetomidine provides a dose-dependent level of sedation and retrograde amnesia with intact verbal contact with the patient, does not cause respiratory depression, reduces the duration of mechanical ventilation, and facilitates care. The need for narcotic analgesics is reduced, since the drug has an independent analgesic effect. The high efficacy of Dexdor in the treatment of delirium continues after the cessation of the infusion of the drug.
This article describes the developments and innovations in the field of construction, in particular, issues of national construction standards, modernization of production, production of new types of high-quality construction materials, work based on new technologies, and expansion of export volume.
Рассмотрены вопросы создания информационной системы учета отдыхающих в здравнице. Отмечены необходимость разработки информационной системы, приведены вопросы требующие решения с целью эффективного обслуживания отдыхающих. Приведено техническое обеспечение создаваемой информационной системы, которая учитывает топологию существующей здравницы.
The article developed a procedure for managing stocks and algorithms based on stock management models. Recommendations for the development of an enterprise stock management algorithm are given.
Objective: to assess the prediction of ogres after cardiac surgery in children based on psychological characteristics and standardized ogre stimuli. Materials and Methods: We examined 42 children aged 2 to 6 years who underwent heart surgery for "OK" defects. Ogre sensations in the preoperative period with injections in 2 fingers and venipuncture; in the postoperative period was detected 4 times, i.e. immediately after waking up and after waking up 1 and 2 hours later. Results and conclusion. Prediction of the severity of postoperative acne syndrome can be determined based on the preoperative orange score at two time points and day 1 of the postoperative assessment.