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V Borisev

Publications and source records attributed to V Borisev.

13 recordsLinked to original sources
PubMed1993

[The importance of monitoring and correcting the hydromineral status in general anesthesia in children].

Specific physiological features of the child's organism necessitate a preoperative assessment of hydromineral and acidobasic status and its correction in order to reduce intraoperative complications and accelerate postoperative recovery. The analysis was carried out in children who were operated on in general anesthesia in the period of one year. Their hydromineral and acidobasic status was assessed. On the basis of the clinical picture and laboratory analyses we assessed the dehydration and metabolical changes and made the corrections preoperatively. Given are tables for the compensation of basic physiological liquid and electrolyte quantities, a guide for the assessment and the correction of the dehydration levels and the correction of metabolical changes. We also gave tables for the compensation of liquid during the operation in general anesthesia. In the conclusion we review basic principles in the preparation for an urgent operation in general anesthesia in relation to hydromineral and acidobasic status as well as the administration of liquid during the operation.

Adolescent↗
PubMed1993

[Ultrasonographic verification of hypertrophic pyloric stenosis].

In a two-year study on 24 newborn infants, diagnosis of hypertrophic pyloric stenosis (HPS) was intraoperatively confirmed, following preoperative ultrasonography. By means of real time sonography three parameters of the pyloric muscle were measured; the mean length was 19.6 mm, diameter 13.4 mm and the muscle thickness was 5.1 mm.

Female↗
PubMed1992

[Clinical manifestations of spinal lesions in dysraphic malformations of the caudal neuropore in children].

Disorders in the development of the spine and the spinal cord in the caudal neuroporus region significantly contribute to the morbidity and the lasting invalidity of children. Clinical investigations of the malformations manifest through different forms of body abnormalities, ranging from asymptomatic forms of "spina bifida occultae" to the severe forms of open "meningomyelocele". The nature and the level often cannot be detected before the development of the structural changes in the course of growth and development of the child, which can hardly be treated later. At the Department of Child Surgery in Novi Sad 12 infants were surgically treated in the last 5 years, while 30 children were surgically and conservatively treated after the detection of the clinical and subclinical manifestations of dysraphism. The indications for the surgical treatment were open meningomyelocele as well as those subclinical forms indicating the development of the tethered corn syndrome, hydrocephalus and tumefactions in the lumbosacral region. Moreover the study points to the significance of certain clinical features and investigations in the diagnosis of spinal dysraphism.

Cauda Equina↗
PubMed1989

[Anesthesia in children with multiple injuries].

Fifty polytraumatic children operated in general anaesthesia have been presented. We have given the types of injuries, operations and the reanimation and anaesthesia treatment. 26% of children have been operated immediately because of the clinically visible bleeding signs. At the same time, the reanimation measures have been taken. Other children have been operated after reanimation and diagnostic procedures within the period of 2-6 hours after the admission into the hospital. Most of the children (44%) were given neurolept anaesthesia. The authors emphasize that the transportation of polytraumatic children has not always been adequate.

Adolescent↗
PubMedDate not supplied

Etiology, diagnostics and therapeutic procedures in renal trauma in children: 1995-1997.

A retrospective study analyses diagnostic and therapeutic procedures in children with renal trauma. The most prominent symptom among the history data was pain in the injured area and macroscopic hematuria in clinical examination. Ultrasound examination was made systematically and if necessary intravenous pyelography and CT scan of the kidneys. Clinical experience based on 18 patients with kidney injury shows that the injury classified according to Guerrier et all as minor renal injury was presented in 11 patients (61.11%), and major renal injury in 7 patients (38.89%). In 4 patients surgical procedure was indicated, and 2 nephrectomies were performed. Conservative treatment is preferable in the small children with renal trauma.

Adolescent↗
PubMedDate not supplied

[Scoring systems for evaluating injury severity].

INTRODUCTION: Various trauma scoring systems were developed in order to assess injury severity and aid in decision making regarding further therapy and probable outcome. ANATOMIC INJURY SEVERITY SCALES: AIS--Abbreviated Injury Scale is a summary of all the values (from 1-9) for each organ or body part that is injured. ISS--Injury Severity Scale scores three dominant injuries from AIS scale. The maximum score for ISS is 75. MISS--Modified Injury Severity Score is a square of the AIS value for the three body parts with most severe injuries. PHYSIOLOGIC INJURY SEVERITY SCALES: GCS--Glasgow Coma Score is a numerical scale that assesses the severity of CNS injuries, that is the most appropriate system for numerical assessment of consciousness disturbance. Trauma score is a sum of GCS decreased for 1/3, plus the assessment of cardiopulmonary function. COMBINED ANATOMIC-PHYSIOLOGIC SCORING SYSTEMS: TRISS score (TS-ISS--trauma and injury severity score) TRISS combines ISS, TS, age of the patient and mechanism of injury, in order to determine survival probability. PTS--Pediatric Trauma Score takes into consideration all of the peculiarities of pediatric patients in response to trauma. Score values are from -6 to +12. APACHE--Acute Physiology And Chronic Health Evaluation Although it is complicated for general use, it still represents the most commonly used scoring system in Intensive Care Units. NEW SCORING SYSTEMS: MPM--Mortality Probability Models. MODS--Multiple Organ Dysfunction Syndrome. LODS--Logistic Organ Dysfunction Syndrome. SAPS--Simplified Acute Physiologic Score.

Humans↗