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Biomedical subjects

A A Buniatian

Publications and source records attributed to A A Buniatian.

At least 19 recordsLinked to original sources
PubMed2002

[Analysis of the efficiency of treatment and causes of death in nosocomial pneumonia in the Republic of Tatarstan].

A comprehensive study was undertaken to examine morbidity due nosocomial pneumonia. An epidemiological survey demonstrated a growth in morbidity and mortality from this disease among the adult population of the Republic of Tatarstan. Pharmacological and epidemiological survey indicated that antibacterial therapy was in conformity with the federal protocols in 43.9% of cases, revealed the optimization of the use of antibacterial agents after introduction of the federal standards. At the same time the low social status of patients dying from pneumonia was accompanied by their appeal for medical aid, which leads to late hospitalization and untimely intensive therapy.

Adolescent↗
PubMed1998

[Use of total myorelaxation for placing a laryngeal mask and further artificial lung ventilation].

The specific features of placing a laryngeal mask (LM) under total myoplegia were studied. The first attempt at placing LM was successful in 98.7% of cases. A pressor response to LM appeared as increases in heart rate by 5.6% with combined intravenous ketamine anesthesia used during laparoscopic cholecystectomies (Group 1), by 10.2% at saphenectomies (Group 2), and by 6.7% with barbiturates. When diprivan was used, changes were absent in Group 1, there were increases in mean blood pressure and heart rate by 10 and 6.6%, respectively, in Group 2. The response to tracheal intubation was significant under all types of anesthesia. Regurgitation and aspiration were absent in all groups. The use of total myoplegia to place LM allows different current anesthetics to be used in the optimal doses and the procedure for placing LM to be greatly simplified.

Adult↗
PubMed1997

[Laryngeal mask under total myoplegia and artificial pulmonary ventilation during laparoscopic cholecystectomies].

The problem of using a laryngeal mask (LM) under total myorelaxation and artificial pulmonary ventilation (APV) is still topical and unsolved. A hundred and forty six anesthesias for laparoscopic cholecystectomy by employing LM in 86 patients or endotracheal tube (ETT) in 60 were comparatively evaluated. Anesthesia included premedication (diazepam, dimedrol, atropine, the H2-blocking agent ranitidine), induction (ketamine, barbiturates and propofol in combination with diazepam and fentanyl; the NMBs pipecuronium bromide and succinylcholine), maintenance (N20:O2 = 2:1. Fentanyl, pipecuronium bromide), monitoring (Capnomac-Ultima (Datex), Dinamap (Criticon) and acid base balance measurements. The quantity and pH of gastric contents were examined. Methylene blue in gelatin capsules was used as a regurgitation indicator. Unlike ETT, LM caused no reactions. The hemodynamic parameters at the traumatic stages of an operation were higher in the ETT group. Smaller amount of analgetics was used in the LM group. The use of manual APV at Pinsp of < 10 cm H2O fully prevented a gas mixture from entering the stomach. Pneumoperitoneum caused increases in Et CO2, pCO2, P inspiration and decreases in breathing volume and lung compliance. The hermetic sealing of joints was 95.6-98.5% in the LM group. Regurgitation was not found in 33 patients. LM NMB and APV may be successfully and safely used in clinical practice.

Anesthesia, General↗
PubMed1991

[Heart transplantation conducted at the All-Union Research Center of Surgery (the first clinical experience)].

The authors analyse experience in the first eight operations for orthotopic transplantation of the heart. Six patients were discharged from the clinic with good immediate results. Comparison of their own data with summarized results gained in other countries allowed the authors to define some specific problems which are of practical interest for clinics embarking on the clinical realization of the problem of heart transplantation.

Adult↗
PubMed1990

[Disorders of the oxygenating function of the lungs during open-heart surgery].

A retrospective analysis of arterial blood oxygenation during open-heart surgery in 463 patients revealed pulmonary oxygenation disorders in 23% prior to perfusion and in 49% in the post-perfusion period. The basic mechanism underlying the fall in arterial blood oxygenation is the increasing venous admixture in the lungs. A growth in the venous admixture in the post-perfusion period is brought about by a decreased total ventilation/perfusion ratio, increased alveolar shunting, and impaired diffusion. It was found, that the assisted ventilation regimen at +5+8 cm H2O in the post-perfusion period caused a 30% reduction in the venous admixture and improved the blood oxygenation. Additional use of diuretics to diminish the intrapulmonary water causes a 59% reduction in the venous admixture. A prophylactic pre-perfusion administration of corticosteroids, vitamin E, and protease inhibitors maintains the oxygenating function of the lungs, which is manifested in a higher blood oxygenation in these patients after assisted circulation compared to the controls.

Adrenal Cortex Hormones↗