[Character and speed of recovery of psychophysiological functions after application of various kinds of anesthesia in conditions of a "one-day" stationary].

The frequency of operative interventions, performed according to the "one-day" stationary technology is raising every day. The patients are choosed in accordance with conventional methods, while somatic state of a patient and the further operation volume playing the leading role. But in 30% of patients in the early postoperative period and in 10.4% in the late postopeartive period the high psychic functions disorders occur, which are called postoperative cognitive dysfunction. The investigation is devoted to studying of character and speed of restoration of psychophysiologic functions after application of various general anaesthesy in conditions of the "one-day" stationary. There was proved, that apart of general anaesthesy scheme applied, in all the patients the cognitive functions defect was noted in postoperative period. These functions are restored most quickly in application of propofol in the scheme and most slower in mononarcosis with ketamin.

[Formalization of criteria of a patient dismissal after performance of operative intervention under general anaesthesia in the one day stationary environment].

Modern anaesthesiological management of operative intervention is characterized by high level of prognostication and safety for the patient. It was achieved due to application of a new pharmacological preparations, used for general anaesthesia and the improvement of technical armament and systemic approach to the problem of the patients safeness during anaesthesia conduction. These factors constitute the base for developing of the one day stationaries net. Application of modern medical technologies permits to perform operative intervention under general anaesthesia and to dismiss the patient during one day. Today there the necessity formed to elaborate, to systemize and to formalize the criterions of safety dismiss of the patient after performance of operative intervention under general anaesthesia in conditions of a one day stationary.

[Anesthesiological safety of patients during ambulatory surgery].

Development of primary chain of the medical aid and predominantly outstationary forms of treatment constitute one of the principal points of the Health Service system reform in our country. Modern medical technologies permit to develop such progressive forms of treatment, which are alternative to stationary one. The processes mentioned above are mostly related to surgical practice, because the quantity and complexity of operative interventions, performed in ambulatory conditions, are rising. The modern ambulatory anesthesiology, which is growing together with ambulatory surgery, constitute comparatively new, specific part of medicine, what permits to widen significantly the operations and diagnostic measures diapason in ambulatory conditions.

[The place and the meaning of cerebrospinal anaesthesia in modern surgical practice].

The modern views concerning application of cerebrospinal anaesthesia in surgical practice were presented. Although last 15 years many new preparations for general anaesthesia have appeared on the pharmaceutical market of Ukraine, but the cerebrospinal anaesthesia did not lose its actuality. While performing cerebrospinal anaesthesia the one-use instruments are applied. It constitute significant factor of the hepatitis and AIDS prophylaxis. Surgeons have had acknowledged in the cerebrospinal anaesthesia security and safety. There were analyzed the results of the cerebrospinal anaesthesia application in more than 6200 patients for the 7-year period of work of the clinical hospital surgical departments. It was proved, that cerebrospinal anaesthesia constitutes secure, safe, simple and not expensive method of anaesthesia.

[Problems of hemotransfusion from the evidence-based medicine point of view]. / Problemy hemotransfuziolohiï z pozytsii dokazovoï medytsyny.

The operational analysis of hospital is conducted on blood transfusion for 5 years. For this time the main parameters of activity were improved and the quantity of blood transfusions has decreased The parameters of activity have not worsened. The number of AIDS--carriers was considerably increased, high there is still the level of a morbidity by hepatitis B and hepatitis C. Presently blood transfusion is equated to transplantation of an organs. From the attitude of evidential medicine it is necessary to prune the number of blood transfusions. The complications of a blood transfusion have been analyzed. The alternate methods of treatment are induced.

[Modern principles of the infusion therapy in operative interventions on aorta and its branches]. / Suchasni pryntsypy infuziinoï terapiï pry operatyvnykh vtruchanniakh na aorti ta ïï hilkakh.

The experience of anesthesiological support of operative interventions on aorta and its branches was summarized. Original method of the small-volume infusional therapy during anesthesy was elaborated and introduced. Statistical indexes, witnessing the advantages of the method proposed, were adduced.

[Tele-surgery of thoracic sympathectomy]. / Telekhirurhichna tekhnika vykonannia hrudnoï sympatektomiï.

Experience of surgical treatment of Raynaud's disease with application of thoracoscopic sympathectomy (TSSE) method using telesurgical technique was analyzed. Operative intervention was performed in 17 patients. Stable positive result was observed in all the patients for the period of 2 years and more. Regarding the intervention traumaticity, efficacy of treatment in immediate and late postoperative period, the patients quality of life, the duration of stay in hospital and the value of treatment, the TSSE results, performed with telesurgical technique application, were significantly better than the results of thoracotomic sympathectomy. Peculiarities of anesthesiologic support and predominance of application of monopulmonary artificial ventilation of lungs during performance of thoracic sympathectomy were noted.