Peculiarities of the course of the postoperative period in traumatological pat ients of young age depending on the method of anesthesia management
Bibliographic record
Abstract
The aim – to study of status of cognitive functions in patients of young age after operations of metaloosteosynthesis depending on the method of anesthesia management.Materials and methods. The study included 80 patients (average age – (33,1±0,8) years), who underwent osteosynthesis operations due to traumas of limbs. The patients were divided into three groups: the I group (n=24) included patients, who were operated under regional anesthesia without sedation, the II group (n=34) – patients, who were operated under regional anesthesia with sedation, the III group (n=22) – patients, who were operated under intravenous anesthesia.Results. The status of short-term memory at the 1st day after the operation was evidently improved in patients of all groups, and status of the volume of distribution and switching attention evidently improved in patients of the III group. The status of short-term memory and attention evidently improved at the 5th day after the operation in patients of all groups. The number of points of the Montreal Cognitive Assessment Scale at the 5th day after the operation was evidently higher in groups, where the regional anesthesia. The introduction of analgesics was evidently later after the operation in the I and the II groups in comparison with the III group. Dexketoprofen in the III group during the first five days of the postoperative period applied in dose (6.6±0.3) mg/kg, that was evidently higher, than in the I and the II groups. Introduction of opioids single dose was at (4.2±4.0)% of patients of the I group and at (22.7±9.0)% of patients of the III group. None of patients of the II group is not needed in the introduction of opioids.Conclusions. The status of cognitive functions in traumatological patients of young age after regional anesthesia, regional anesthesia with sedation (propofolum) and intravenous (propofolum, fentanylum) anesthesia not deteriorated. Regional anesthesia with sedation had greater antinociceptive protection in the early postoperative period.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".