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Biomedical subjects

E A Sokolov

Publications and source records attributed to E A Sokolov.

At least 19 recordsLinked to original sources
PubMed1982

[Mediastinal cysts].

In the department of thoracic surgery of the Kostroma Region Hospital from 1967 to 1980 thirty one patient were operated upon for mediastinal cyst. Most of the patients did not have any complaints at the admission, clinical symptoms of the others having not characteristic picture. The mediastinal cysts should be treated only surgically. Results of operations were good.

Adolescent↗
PubMed1981

[Complications and their prevention in the surgical treatment of lung diseases in the elderly].

According to the author's data, of 579 elderly patients operated for different diseases of the lungs complications were observed during operation in 24,5% of cases such as cardiac arrhythmia, hemorrhages, acute disturbance of ventilation and cardiac arrest. Postoperative complications (tracheobronchial obturation, pneumonia, cardiac rhythm disturbance, pulmonary-cardiac insufficiency, incompetence of the bronchial stump and thromboembolism) took place in 40,6%. Postoperative lethality was 7,4%. Most frequent complications appeared following pulmonectomy. Great importance is attached by the author to prophylactic measures reducing the postoperative lethality.

Aged↗
PubMed1980

[Indications for the surgical treatment of chronic nonspecific lung diseases in the elderly].

The observations of 37 elderly patients operated on for nonspecific pulmonary diseases have shown that surgery may be successfully used when there are no pronounced aged changes and the respiratory and cardiovascular systems are in satisfactory condition. The postopertive mortality rate equaled 10,8%. After pulmonectomy it was 5,5 times higher than afterportal resection of the lung.

Age Factors↗
PubMed1980

[Causes of fatal outcomes after operations on the lungs in the elderly].

For the period from 1969 till 1978 579 elderly patients were operated for different lung diseases. The postoperative mortality was 7,4%. The postoperative mortality in elderly patients was dependent on the operation volume: after pneumonectomies it was 16,6%, bilobectomies--9,3%, lobectomies--5,8%, segmentary, wedge-shaped resections--2,6%. The mortality rate increased proportional to each five years of age of the operated patients.

Age Factors↗
PubMed1980

[Possibilities of surgical treatment of lung cancer in patients over 70].

110 lung cancer patients over 70 were examined. 56 patients mainly with peripheral cancer of stage II-III have been operated upon in satisfactory functioning of the respiratory and cardiovascular systems. The operability was 50.9%, respectability--91%. Partial pneumonectomies were performed in 80.3%, these comprised both lobectomy and segmental or wedge resections. The postoperative complications were noted in 37.5%, mainly as arrhythmia, atelectasis, pneumonia. The postoperative mortality was 7.1%.

Age Factors↗
PubMed1979

[Prolonged peridural anesthesia after operations on the chest cavity organs in elderly patients].

From the analysis of 126 observations of the longlasting peridural anesthesia in elderly patients following operations on the lungs and thoracic organs the author notes a high effectiveness of the method. Anatomical peculiarities of the spine structure in elderly individuals make for a more frequent occurrence of such complications as impossibility to perform the puncture of the peridural space, puncture of the dura mater, drop of the arterial pressure etc. The frequency of complications was 23%; in 7.9% of them the medicamental treatment was needed. The use of the longlasting peridural anesthesia favoured an early motor activity of the elderly patients, a rapid normalization of the bronchial motor function and decrease of the rate of postoperative pulmonary complications. The longlasting peridural anesthesia should be widely applied in geriatric surgery.

Aged↗
PubMed1976

[Diagnostic and therapeutic importance of right-heart catheterization during operations on the lungs and in the early postoperative period in elderly patients].

Pressure in the right heart (CVP) was measured at different stages of lung resection and during the first postoperative days in 74 aged patients, operated upon for various pulmonary affections. Pneumonectomy was performed in 33 patients, partial resection--in 31, thoracotomy--in 10. The pressure was measured by catheterization of the right heart, using the Valdman apparatus. No complications relative to catheterization of the right heart were noted. Intraoperative observations over CVP dynamics with due account of other hemodynamic indices, general patient's state and the operative stage provide for additional valuable data of the state of a patient operated upon. During the first days after pneumo- and lobectomy CVP was found to be decreased compared with initial values, that seems to be related with hypovolemia. Studies on the circulating blood volume and its components, carried out in 18 patients, have proved the presence of hypolvolemia in patients under consideration. These investigations make it possible to recommend continous catheterization of the right heart for early recognition of hemodynamic disturbances and a simultaneous use of the catheter for infusion of medical drugs.

Age Factors↗
PubMed1976

[Changes of certain indicators of gas exchange and hemodynamics under conditions of long-term peridural anesthesia after lung resection].

A continuous peridural anesthesia after pulmonary resection was conducted in 200 patients aged from 3 to 72 years. The anesthesia would contribute to a prompt normalization of ventilatory indices and acid-base balance in early terms, it also improves hemodynamics. This method of postoperative anesthesia enabled the authors to reduce the number of tracheobronchial obturations in the surgical department from 8.4% to 5.1%.

Acid-Base Equilibrium↗