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Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

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THE EFFECTIVENESS OF NEW BLOOD-SAVING TECHNIQUES IN PEDIATRIC SPINAL SURGERY

https://doi.org/10.14531/ss2005.1.95-99

Abstract

The results of application of new blood-saving techniques in surgeries for scoliosis were compared in 289 patients aged from 9 months to 17 years, and the analysis of their efficiency was performed. The authors have estimated volume and velocity of blood loss, and changes in hemoglobin rate under balanced anesthesia with spinal blockade, clonidine hypotensive anesthesia and acute preoperative isovolemic hemodilution with autoplasma. The highest efficiency of spinal blockade in lumbar surgery is marked. Hemodilution was found more effective in comparison with hypotensive anesthesia in the patients with CDI correction of scoliosis. Clonidine hypotensive anesthesia (the only variant of blood-saving anesthesia used for hemivertebrae extirpation in our study) has appeared inefficient.

About the Authors

Gleb Eduardovich Ulrikh
St. Petersburg State Pediatric Medical Academy
Russian Federation


Eduard Vladimirovich Ulrikh
St. Petersburg State Pediatric Medical Academy
Russian Federation


Elena Georgyevna Kachalova
St. Petersburg Children Infectious Diseases Hospital No. 5
Russian Federation


Aleksandr Valentinovich Ushakov
St. Petersburg State Pediatric Medical Academy
Russian Federation


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Review

For citations:


Ulrikh G.E., Ulrikh E.V., Kachalova E.G., Ushakov A.V. THE EFFECTIVENESS OF NEW BLOOD-SAVING TECHNIQUES IN PEDIATRIC SPINAL SURGERY. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2005;(1):095-099. (In Russ.) https://doi.org/10.14531/ss2005.1.95-99



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ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)