Three new Expedition 31 crew members Gennady Padalka, Joe Acaba and Sergei Revin docked to the International Space Stationâs Poisk module Thursday May 17, at 12:36 a.m. EDT. They began their jour...
Kozlov, I A; Piliaeva, I E; Matveev, Iu G; Kormer, A Ia
The first experience of anesthesiological management of three two-step orthotopic heart transplantations is reviewed. As the first step of surgical treatment one recipient was implanted an artificial heart "POISK-IOM" (Russia), in 2 other patients left ventricular bypass was achieved using a "Biopump" ("Biomedics", USA). Anesthesia techniques, methods of infusion-transfusion therapy, and other components of intraoperative management are described. Hemodynamics, donor heart function recovery, and other homeostasis parameters have been analysed. It has been noted that high doses of fentanyl in combination with ketamine and diazepam ensured satisfactory course of general anesthesia. There were no cases of intraoperative lethality. A more complex aspect of anesthesiological management was correction of various homeostasis disturbances which progressed during surgery in patients with left ventricular bypass. In two cases the intraoperative period was characterized by the onset of multiorgan failure (heart, respiratory, renal failure, metabolic disorders, coagulopathy), which played a negative part for the postoperative period of heart transplantations. It is concluded that prediction of possible complications during temporary mechanical replacement of the cardiac function and timely determination of contraindications for the second step of two-step heart transplantations are the most important trends of investigations for anesthesiologists, intensive care specialists, and transplantologists. PMID:8010503
Sivchenko, V.Ya.; Mal'tsev, E.K.; Voloshina, I.V.; Simonov, V.M.
Changes in barometric pressure introduce an additional error to the results obtained with different types of gas analyzers. These errors can be reduced or eliminated by technical steps or by the application of corrections to the results obtained. In this paper, the authors present the results of their determinations of correction coefficients for gases measured by the Poisk chromatograph in the range of barometric pressures from 80 to 120 kPa (from 600 to 900 mm Hg). The authors designed their investigations to simulate increased and reduced barometric pressures with respect to the calibration pressure simultaneously at the outlet from the chromatographic columns (carrier gas discarding tube) and in the dosed volume. A head in the dosing volume and in the carrier gas outlets from the columns, simulating an increase in atmospheric pressure, was created by using compressed gas from a cylinder and a regulating valve; dilution, corresponding to a decrease in atmospheric pressure, was created by a flow rate stimulator and a regulating valve. A storage capacity eliminated fluctuations of the reduced or excess pressure.