#16
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Îäíàêî...ïî ññûëêå, âèäèìî, íèêòî è íå õîäèë 8(( À âîò êàðòèíêà - òàê, äëÿ ïðèìåðà. Âîïðîñ àïïàðàòóðû êàñàëñÿ ñòèìóëÿòîðîâ è èãë ê íèì. Óâ. äîêòîðà, îïÿòü óñòðîèëè ðàçáîðêè?
ÇÛ-óøåë ÷èòàòü ïðî äå-ýñêàëàöèîííóþ òåðàïèþ îò Ìàõîòèíà. Íàêîíåö âðåìÿ íàøëîñü. |
#17
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À âîò è íå ïðàâäà. ß êàê ðàç çàõîäèë. Ó ìåíÿ íà äâóõ äèñêàõ åñòü, ñ âèäåî. Òàì åù¸ êðó÷å âñ¸ âèäíî. À âîò íà àïïàðàòèêè ïîñìîòðåë - ñ âèäó ÷åïóõà Äà è âíóòðè íå Ïåíòèóì4... Áûëî áû æåëàíèå
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#18
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#19
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ÿ çàõîäèë íà ñàéò ïî Âàøåé ññûëêå è áëàãîäàðåí çà ïðåäîñòàâëåííûé èíòåðåñíûé ìàòåðèàë...  ñâîþ î÷åðåäü ïðåäëàãàþ ïîñåòèòü åâðîïåéñêèé ñàéò ïî ðåãèîíàëüíîé àíåñòåçèè, ñäåëàííûé ñïåöèàëèñòàìè Ulm Rehabilitation Hospital (íàãëÿäíî, ìíîãî âèäåî è ôîòî, åñòü äèñêóññèîííûé ôîðóì è êàëåíäàðü ñîáûòèé). Âîò ññûëêà: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Õî÷ó îòìåòèòü, ÷òî îòñóòñòâèå äîëæíîé àïïàðàòóðû ëèøü ïîäêðåïëÿåò îòñóòñòâèå èíòåðåñà ê äàííîìó ðàçäåëó àíåñòåçèîëîãèè.  íàñòîÿùåå âðåìÿ áîëüøèíñòâî ñïåöèàëèñòîâ ñêëîíÿþòñÿ ê ìíåíèþ, ÷òî íå ñëåäóåò âûïîëíÿòü ðåãèîíàëüíóþ áëîêàäó áåç êîíòðîëÿ ýëåêòðîñòèìóëÿòîðîì èëè óëüòðàçâóêà. Êñòàòè âîò âûñêàçûâàíèå ñ ïðåäëîæåííîãî Âàìè ñàéòà: The debate over which technique, paresthesia or nerve stimulation, is safer and more effica-cious is moot. The debate must be limited only to brachial plexus blockade, as the use of paresthesia techniques in infraclavicular, lumbar plexus, femoral, sciatic, popliteal, and other “deep” blocks is both unreliable and unacceptable in modern practice. Consequently, modern regional anesthesia practice is nearly impossible without nerve stimulators. Most recent published reports in the field describe the use of nerve stimulators in their methods. The question of whether eliciting paresthesia or nerve stimulation is safer in brachial plexus blockade though, still continue to be debated by some researchers. Selander and Plevak suggest that the paresthesia technique increases the risk of postblock neuropathies. Indeed, the frequency of postanesthesia neuropathy was significantly greater when paresthesia techniques were utilized, as compared with “nonparesthesia” techniques. On the other hand, careful use of the paresthesia technique to localize the brachial plexus is successfully used at many centers without a significant increase in the risk of nerve injury. The major drawback of the paresthesia technique is that it is associated with greater patient discomfort. It is much more difficult to teach, as compared to nerve stimulator technique. |
#20
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#21
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#22
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1- ñâîåãî õèðóðãà 2- ñâîåãî áîëüíîãî 3- ñâîþ òåõíèêó è ëåêàðñòâà. Åñëè îäèí èç òð¸õ êîìïîíåíòîâ íå ïîäõîäèò ñèëüíî ñîâåòóþ îáøóþ àíåñòåçèþ. |
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#23
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#24
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#25
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papadoctor "Íå óìååøü íå áåðèñü!!!"
à ÿ ìíîãî ÷åãî íå óìåþ ýòî äà.... è áåðóñü.. íî åñëè áðàòñÿ íå áóäó òî íå íàó÷óñü íàâåðíîåå âîîáùå? |
#26
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È áåç àíåñòà â îïåðàöèîííîé ñòðàííàÿ ñèòóàöèÿ - âñå ðàáîòàþò òà "òåëå", à êàêîå àðòåðèàëüíîå äàâëåíèå ó "òåëà" íèêòî íå çíàåò. Íåõîðîøî. |
#27
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áðóêñà îäîáðèë(à): åñëè íå áðàòüñÿ ïðåâðàòèøüñÿ â ðåìåñëåííèêà
à ðàçâå ìû âñå íå ðåìåñëåíèêè???? âïðî÷åì íà÷èíàþ ôëóäèòü.... |
#28
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#29
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#30
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