Efficacy of postoperative analgesia with transdermal therapeutic system - TRANSTECK (buprenorphine) and DUROGESIK (fentanyl) was assessed in 70 morbidly obese patients who had biliopancreatic bypass surgery under general anesthesia with sevofluarine, fentanyl, rocuronium. The 30 patients were assigned to postoperative analgesia with transteck, and in the 40 patients durogesik was administered. Our results indicate that transdermal therapeutic systems present effective postoperative pain treatment in patients with morbid obesity undergoing biliopancreatic bypass surgery.
Comparative assessment of central hemodynamics and autonomic functions was conducted in two groups of younger children undergoing surgical treatment of talipes under spinal anesthesia combined with sedation by midazolam (one group) and under general anesthesia with halothane and fentanyl (other group). Significant differences between the two groups in terms of central hemodynamics parameters and autonomic functions were found. The results of our work suggest that combined spinal anesthesia is a method of choice for surgical treatment of congenital foot abnormalities as it produces effective nociceptive block.
The aim of the present study was to investigate efficacy and safety of combined femoral and sciatic nerve blockade for surgical operations on necrotic suppurative lesions of foot and lower leg. The results of our study showed that in compare with total intravenous technique the combined femoral and sciatic nerve blockade for the surgical debridement of the affected foot and lower leg provides adequate intraoperative anesthesia, hemodynamic stability and preserved respiratory function.
The purpose of our work was to determine efficacy and safety of balanced two-segmental spinal-epidural anesthesia (SEA) as well as to test this technique in settings when operative delivery carries the risk to be extended. The method has been used in 69 pregnant women aged 23-42 yrs with 36-40 weeks of gestation. We established that SEA is highly effective and safe technique therefore it can be recommended as appropriate method of anesthesia for operative delivery having risk of its extension.
The aim of the study was to clarify factors influencing Quincke-style needle course during lumbar puncture. Contribution of the needle gauge into the amount and direction of the needle deviation was also investigated. Several tests on the isolated osteo-ligamentous preparation of lumbar spine segment fixed with formalin were undertaken. Other tests involved using of raw potato fragment bar shaped and 40 mm wide as model of interspinous ligament. In total the work included 12 measurements performed at different entry needle angles on the natural and simulating preparations. Found mechanisms allow to suggest more effective approach in predetermining needle trajectory and so to increase rate of successful spinal punctures with Quincke-style needle