[Prevention of hemodynamic disorders during anesthesia in middle-aged and elderly patients with essential hypertension. Components of anesthesia. II]. / Profilaktika gemodinamicheskikh narushenii vo vremia anestezii u bol'nykh pozhilogo i starcheskogo vozrasta s soputstvuiushchei gipertonicheskoi bolezn'iu v svete komponentnosti anestezii (Chast' II).

Hemodynamic parameters were evaluated during various stages of anesthesia in two groups of patients aged 60-85 years with mild essential hypertension. In group 1, routine preoperative treatment with hypotensive drugs was carried out and in group 2 differentiated preoperative treatment with calcium antagonists was carried out with consideration for a hemodynamic type. Group I patients were operated on under traditional neuroleptic analgesia (NLA), group 2 under NLA with 40% lower drug doses than in group 1 and with addition of calcium antagonists. To patients with hypo- and eukinetic hemodynamics, nifedipine was injected (bolus injection) in a dose of 14.2 micrograms/kg before induction and then was infused in a dose of 6.0-14.2 micrograms/kg/min. Patients with hyperkinetic hemodynamics were injected verapamil in a dose of 70-140 micrograms/kg (bolus injection) and then the same dose every hour of the operation. Differentiated use of calcium antagonists during anesthesia helped transform the hyper- and hypokinetic types of hemodynamics into a more rational eukinetic type, which was associated with a decrease of MVO2. Calcium antagonists, exerting analgesic, automatic stabilizing, and antihypoxic effects, prevented the hyperdynamic reactions complicating NLA in 30% cases and precluded complications of concomitant ischemic diseases, which were observed in 40% of group 1 patients.

[Combined intravenous and epidural anesthesia in laparoscopic surgery]. / Sochetannaia vnutrivennaia i épidural'naia anesteziia pri laparoskopicheskikh operatsiiakh.

Two methods of anesthesia (total intravenous and combined intravenous + epidural) are compared in patients after laparoscopic cholecystectomy with grave concomitant diseases of the circulatory and respiratory systems. Combined anesthesia should be preferred in this category of patients.

[Comparative study of the use of mivacron and tracrium in anesthesia during laparoscopic cholecystectomy]. / Sravnitel'naia otsenka primeneniia mivakrona i trakriuma v anesteziologicheskom posobii pri laparoskopicheskikh kholetsistéktomiiakh.

Two nondepolarizing myorelaxants: tracrium, with medium-long duration of action, and a new short-acting drug mivacron were used in combined anesthesia of 50 patients with gastrointestinal diseases subjected to laparoscopic cholecystectomy. Both drugs can be used for anesthesia of laparoscopic operations; mivacron should be preferred due to its shorter action.

[Mathematical modeling and taxonomic evaluation of the indices and degree of rehabilitation in 2 types of the treatment of patients with sequelae of spinal cord injuries]. / Matematicheskoe modelirovanie i taksonomicheskaia otsenka indeksa i stepeni reabilitatsii pri dvukh vidakh lecheniia bol'nykh travmaticheskoi bolezn'iu spinnogo mozga.

The authors characterize spinal cord traumatic disease (SCTD) and methods of the taxonomic evaluation of the index (IR) and degree of rehabilitation (DR), which allow the control over the efficacy of the treatment of patients suffering from SCTD. The IR and DR of two treatment types are compared in two groups of patients with SCTD (n-153, 47 controls). The method suggested makes it possible to accurately control the IR and DR of each patient with SCTD as well as to use the findings obtained for elaborating the program of rehabilitation of patients with SCTD and for computer-based analysis.