Volume 4 Issue 1
2020-06-15 Research Article
Abstract
The choice of the optimal muscle relaxant in one-day surgery in children with “small” surgical interventions remains relevant to this day. In modern pediatric surgery, the requirements for the quality of muscle relaxation are highest. However, along with the effectiveness of the drug, its duration and controllability of the action, as well as the safety of use, are important.
The aim of the study: To determine the pharmacoeconomic rationale for the rational use of muscle relaxants, depending on the duration of operations in one-day surgery in children.
Material and research methods: The study was conducted in surgical clinics of the Azerbaijan Medical University. The study included 156 children who were operated on routinely from 0 to 16 years old (risk of anesthesia I-II ASA), who used combined endotracheal anesthesia during surgery. Based on the requirements of the GCP international program (Good Clinical Practice), the inclusion of children in the study was carried out only after the written consent of the parents. The studied patients were divided into 3 groups depending on the muscle relaxant used: IA (n = 52) - rocuronium bromide (esmeron), IB (n = 52) - atracurium besilate (tracrium), IC (n = 52) - cisatracurius besilate (nimbex). Depending on the type of general anesthesia, these groups were also divided into 2 subgroups: anesthesia based on isoflurane + fentanyl ″ + iso ″ and anesthesia based on sevoflurane + fentanyl ″ + sev ″. The main groups were also divided into 2 age subgroups: children under 2 years of age – IA1, IB1, IC1 and children from 2 to 16 years old – IA2, IB2, IC2.
2020-05-25 Case Report
Abstract
Ischemic heart disease may occur in isolation, or in combination with the pathological process of vascular ageing, arteriosclerosis. These two conditions have differing impacts on the haemodynamic changes in response to anaesthesia and surgery. Hypertension is not a feature of ischemic heart disease, and vice versa, but where the two conditions co-exist, hypertension aggravates and accelerates the pathological processes of ischemic heart disease. Patients older than 40 yrs. presenting for anaesthesia and surgery must therefore be considered at risk of any combination of these three conditions. Anaesthetic techniques must also be chosen to minimize haemodynamic changes which in the normal healthy patient cause no serious morbidity, but which, in the patient with ischemic heart disease, can lead to serious morbidity or death. Here we report a 70 years old (BMI of 23.3) elderly, hypertensive Male patient with ischemic heart disease with previous MI (EF of 40% - 5%) undergoing elective Inguinal hernia repair. We Opted Spinal anesthesia over General anaesthesia as it should be an asset in cardiac patients undergoing non-cardiac lower abdominal surgeries to reduce preload and after load, stress response, coagulation responses, improves coronary perfusion, provides better postoperative analgesia, reduces incidence of perioperative MI, maintains myocardial oxygen supply demand ratio and avoids harmful effects of GA such as hypotention due to intravenous induction drugs, tachycardia and hypertension due to pressor response during direct laryngoscopy and tracheal intubation.
Abstract Read Full Article HTMLDOI: 10.29328/journal.ijcar.1001013 Cite this Article
Recent Articles
2019-07-09 Research Article
Jens Magunia, Hans-Bernd Hopf and Michael Schutz*
Abstract Read Full Article HTMLDOI: 10.29328/journal.ijcar.1001012 Citation
2019-07-04 Case Report
Domingos Dias Cicarelli*, Fernando Chuluck Silva, Carolina Martins Ricardo, Ana Carolina Makinoo Antunes, Murilo Alexandre Carmona and Maria Jose Carvalho Carmona
Abstract Read Full Article HTMLDOI: 10.29328/journal.ijcar.1001011 Citation
2018-12-19 Research Article
Gangadevi Nandasena and Chrishantha Abeysena*
Abstract Read Full Article HTMLDOI: 10.29328/journal.ijcar.1001010 Citation
2018-11-20 Research Article
Gangadevi Nandasena and Chrishantha Abeysena*
Abstract Read Full Article HTMLDOI: 10.29328/journal.ijcar.1001009 Citation
2018-11-13 Research Article
Christopher Mallard, Brad Withers, Brooke Bauer, Paul A Sloan, Sean Dineen and Annette Rebel*
Abstract Read Full Article HTMLDOI: 10.29328/journal.ijcar.1001008 Citation
2018-10-23 Research Article
Demet Dogan Erol*
Abstract Read Full Article HTMLDOI: 10.29328/journal.ijcar.1001007 Citation
2018-07-25 Research Article
Veronica Atterhem, Magnus Hultin and Tomi Myrberg*
Abstract Read Full Article HTMLDOI: 10.29328/journal.ijcar.1001006 Citation
2018-01-30 Research Article
Nagat S EL-Shmaa*, Mohamed El-Kashlan and Eman Ramadan Salama
Abstract Read Full Article HTMLDOI: 10.29328/journal.ijcar.1001005 Citation














