Prevention and correction of psychogenic and cognitive impairment in children with vascular malformations in multiple laser treatment with general anesthesia
Abstract
Naevus flammeus or Port wine stain (Pws) – is an inherent capillary malformation, occurs every 3–4 children per 1,000 live births. The gold standard of PWS treatment is a pulsed dye laser (Pdl) with a wavelength of 585–595 nm. according to modern international standards laser treatment should begin in infancy and due to the painful procedure general anesthesia is recommended. A significant part of the parents applies to general anesthesia with prejudice, exposing the baby pain impact shocks (surgical stress). Multiple modern general anesthesia by sevoflurane in outpatient PWS laser treatment involves minimal and short-term cognitive impairment. This data describes the drug and psychotherapeutic correction of cognitive impairment.
About the Authors
I. V. Dorovskich
«1586 Military Mlinical Hospital» Ministry of Defence of the Russian Federation
Russian Federation
Russian Federation
Moscow region
T. S. Belysheva
N.N. Blokhin Russian Cancer Research Center, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Moscow
N. V. Matinyan
N.N. Blokhin Russian Cancer Research Center, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Moscow
S. E. Zakovryashina
«1586 Military Mlinical Hospital» Ministry of Defence of the Russian Federation
Russian Federation
Russian Federation
Moscow region
K. V. Katz
N.N. Blokhin Russian Cancer Research Center, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Moscow
References
1. J. Stuart Nelson, M.D., Ph.D, Wangcum Jia, Ph.D et al. Observation on enhanced Port Wine Stain blanching induced by combined puised dye laser and Rapamycin administration. Laser Surg. Med. 2011, v. 43 (10), p. 939-942.
2. Robert Anolik, MD, Tracey Newlove, MD, et al. Investigation into optimal treatment intervals of facial port-wine stains using the pulsed dye laser. American Academy of Dermatology, Inc. doi: 10.1016/j.jaad.2011.11.964.
3. Иванов С.В. Соматоформные расстройства: эпидемиология, коморбидные психосоматические соотношения, терапия. Диссертация д-ра мед. наук. М., 2002.
4. Кравченко Н.Е. и соавт. Психические расстройства у детей и подростков с гемобластозами во время первичной госпитализации в онкологический стационар. Психические расстройства в общей медицине. 2012, № 2, с. 23-27.
5. Елькин И.О. Нарушения высших функций у детей, обусловленные общей анестезией и операционным стрессом. Пути их профилактики и коррекции. Диссертация д-ра мед. наук. Екатеринбург, 2010.
6. Инструкция по медицинскому применению препарата Когитум. Рег. № 011377/01 от 14.04.2006 г.
7. Зозуля И.С., Мартынюк В.Ю. и соавт. Нейропротекторы, ноотропы, нейрометаболиты в интенсивной терапии поражений нервной системы. Киев, Интермед. 2005, 132 с.
8. Clark W.M., Warach S.J., Pettigrew L.C. et al. A randomized doseresponse trial of citicoline in acute ischemic stroke patients. Citicoline Stroke Study Group. Neurology. 1997, v. 49, p. 671-678.
9. Евтушенко С.К., Яновская Н.В., Евтушенко О.С. Цераксон как эффективный нейропротектор в лечении и реабилитации детей первого года жизни с органическими поражениями ЦНС. Международный неврологический журнал. 2007, № 3, с. 1-4.
Review
For citations:
Dorovskich I.V., Belysheva T.S., Matinyan N.V., Zakovryashina S.E., Katz K.V. Prevention and correction of psychogenic and cognitive impairment in children with vascular malformations in multiple laser treatment with general anesthesia. Bone and soft tissue sarcomas, tumors of the skin. 2015;(2):17-22. (In Russ.)
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