The quality of anesthesia maintenance, as well as awakening and recovery in the postoperative period, directly affect the quality of medical services, the comfort and satisfaction of patients in pediatric practice and their parents. Most often in modern anesthesiology, inhalation anesthetics are used due to the convenience of their use, regardless of age in children, including laparoscopic surgical interventions.
The article focuses on the study of hemodynamics of children during the period of induction into anesthesia. The analysis of the study results has been carried out – 80 children aged 3 to 14 years undergone medical procedures on diseases of abdominal cavity and anorectal area. The study results have shown that the combination of sevoflurane and ketamine in small doses has caused an effective analgesic effect with a significant vegetative stabilizing effect providing a stable course of the following stages of anesthesia and postanesthetic period.
"Anesthesiology and resuscitation is one of the most complex and difficult specialties, requiring broad erudition, deep knowledge and mastery of the hands at the same time from the doctor."
Improving the children's resuscitation service and improving the quality of care for children in critical condition is one of the main areas of healthcare in the Republic of Uzbekistan. The availability and quality of medical care at the resuscitation stage of treatment, regardless of the location of the patient, largely determines the outcome of the underlying disease. In children, due to anatomical and physiological features and rather significant differences in the nature of pathological processes, critical conditions occur much more often than in adults.
Осуществление анестезиологического обеспечения (АО) в педиатрической анестезиологии должно отвечать всем требованиям, способствующим деликатному проведению оперативного вмешательства. На современном этапе ингаляционные анестетики (ИА) продолжают отвечать всем должным требованиям, но остаются полемичными комбинированные способы анестезии на основе севофлурана. В офтальмологической практике данный способ имеет свои преимущества, дискуссии по которым продолжаются.
Surgery is the main treatment for congenital glaucoma. At the present stage, inhalation anesthetics (IAs) continue to meet all the necessary requirements, but combined methods of anesthesia based on sevoflurane remain controversial. In ophthalmic practice, this method has the following advantages: controllability of anesthesia, less effect on intraocular pressure, ensuring a smooth course of anesthesia.
Осуществление анестезиологического обеспечения (АО) в педиатрической анестезиологии должно отвечать всем требованиям, способствующим деликатному проведению оперативного вмешательства. На современном этапе ингаляционные анестетики (ИА) продолжают отвечать всем должным требованиям, но остаются полемичными комбинированные способы анестезии на основе севофлурана. В офтальмологической практике данный способ имеет свои преимущества, дискуссии по которым продолжаются.
В связи со сложностью медикаментозной обработки корневого канала перспективно изучение антисептика на основе декаметоксина (1,10-декаметилен-(П,П-диметилментоксикарбонилметил аммония дихлорид) - Декасана, обладающего широким спектром бактерицидного и фунгицидного действия за счёт способности при взаимодействии с фосфатидными группами липидов цитоплазматических мембран микроорганизмов нарушать их проницаемости и не оказывать влияния на клетки человека.
Качество поддержания анестезии, а также пробуждения и восстановления в послеоперационном периоде напрямую влияют на качество оказания медицинских услуг, комфорт и удовлетворенность пациентов в педиатрической практике и их родителей. Наиболее часто в современной анестезиологии применяются ингаляционные анестетики в связи с удобством их использования независимо от возраста у детей, в том числе и при лапароскопических оперативных вмешательствах. Самыми современными препратами этой группы являются севофлуран
The success of modern dentistry is largely due to the development and implementation in practice of new tools and methods that allow painlessly carry out long and large – scale interventions in the oral cavity. The most effective and safe way of anesthesia on an out-patient dental reception is local anesthesia. For the time being. The most effective of them are recognized drugs created on the basis of articaine, due to the peculiarities of its phar-macokinetics and pharmacodynamics. The articaine containing products produced by various foreign companies and is known for its proprietary trade names: al-fakin (Dens-ply, France), Articaine of INIBSA (Inibsa, Spain), Prilocain (Russia), Primaquin (France), Septanest (Septodont, France), Ubistesin (ZM ESPE, Germany), Ultracain (Sanofi-Aventis, Germany), Cytokeratin (Italy). The main component of all these drugs is a local anesthetic – articaine, which determines, on the one hand, the General features of the action of all these drugs, and on the other-their distinctive features in comparison with drugs created on the basis of lidocaine or mepivacaine. Articaine, lidocaine and mepivacaine are international nonproprietary names (INN), which are indicated along with trade names (E. V. Zoryan, S. A. Rabinovich)
Fast track surgery (FTS), or rapid recovery surgery, is a fundamentally new approach to surgery. FTS was developed by Kehlet F.I. (1993) and assumed the following aspects to minimize stress reactions and significantly reduce the recovery period of patients: regional anesthesia, minimally invasive operations, aggressive postoperative rehabilitation (early enteral nutrition and activation of patients). Wind J. (2006) specified FTS as follows: informing the patient, avoiding bowel preparation and premedication, using probiotics, avoiding preoperative dry fasting, oral glucose (5%, 150 ml 2 hours before surgery), regional anesthesia or anesthetics short-acting, adequate perioperative infusion, surgical mini-invasiveness, prevention of hyposermia, non-opioid analgesia, avoidance of routine nasogastric tubes and drains, early removal of the urinary catheter, prokinetics, early enteral nutrition and patient activation.
The success of modern dentistry is largely due to the development and implementation in practice of new tools and methods that allow painlessly carry out long and large — scale interventions in the oral cavity. The most effective and safe way of anesthesia on an outpatient dental reception is local anesthesia (M. G. Panin, 1969; A. F. Bizyaev, 1998; S. F. Gritsuk 1998; S. A. Rabinovich, 2000; R. S. Brown, 1994; S. Malamed, 1994, 1997; etc.). For the time being. The most effective of them are recognized drugs created on the basis of articaine, due to the peculiarities of its pharmacokinetics and pharmacodynamics (H. Lemay, 1984; R. Rahn, 1996, S. Malamed, 1997; A. J. Petrikas, 1997; L. A. Grigoryants, A. P. Shafransky, 1999; E. V. Zoryan, E. N. Anisimova, 2002; S. A. Rabinovich et al., 2005, 2006; E. V. Zoryan, S. A. Rabinovich, 2005; S. A. Rabinovich, E. V. Zoryan, 2006; etc.).The articaine containing products produced by various foreign companies and is known for its proprietary trade names: al-fakin (Densply, France), Articaine of INIBSA (Inibsa, Spain), Prilocain (Russia), Primaquin (France), Septanest (Septodont, France), Ubistesin (ZM ESPE, Germany), Ultracain (Sanofi-Aventis, Germany), Cytokeratin (Italy). The main component of all these drugs is a local anesthetic — articaine, which determines, on the one hand, the General features of the action of all these drugs, and on the other-their distinctive features in comparison with drugs created on the basis of lidocaine or mepivacaine. Articaine, lidocaine and mepivacaine are international nonproprietary names (INN), which are indicated along with trade names (E. V. Zoryan, S. A. Rabinovich)
Research purpose: Improvement of the methods of anesthetic management with the use of sevoflurane in the surgical treatment of cataracts in children.
Materials and methods: 54 sick children were studied during ophthalmosurgical interventions under combined anesthesia based on the use of sevoflurane.
Results and discussion: The data obtained from studies of central hemodynamic parameters showed minimal changes in the response of systemic hemodynamics, which were associated with the peculiarities of the pharmacological action of both fentanyl and sevoflurane. It should be noted that this condition during anesthesia characterized the state of moderate circulatory hypodynamia