[Infective endocarditis in patients on program hemodyalisis].

Ten (1.8%) out of 558 patients with end-stage chronic renal failure on program hemodialysis developed infective endocarditis (IE). The average length of hemodialysis before IE was 17.0 +/- 14.5 months. The main cause of IE was infection of the site of vascular approaches. The diagnosis was difficult; Duke criteria modified by J. Li et al. (2000) allowed evidenced diagnosis of IE only in 30% of cases, while modified criteria offered by the authors did it in 50% of cases. The article discusses rational antibacterial therapy. Hospital lethality in IE is as high as 50%.

[Equipment for extracorporeal blood oxygenation during hemosorption]. / Ustroistvo dlia ékstrakorporal'noi oksigenatsii krovi pri gemosorbtsii.

A portable blood oxygenator is developed on the basis of the conventional sorption column. The prime volume of the oxygenator is up to 100 ml thus providing 100% saturation of the blood with oxygen at the perfusion rate of up to 300 ml/min. The device has been used in 54 hemosorption procedures for acute peritonitis, the improvement of the detoxication effect being observed.

[Experience in the use of standard perfusion packings for hemosorption]. / Opyt ispol'zovaniia standartnoi perfuzionnoi nasadki dlia provedeniia gemosorbtsii.

A fixture for locking the perfusion packing to all types of the standard bottles with non-threaded neck is proposed. It consists of a metal ring, a yoke and two stop screws. The fixture has been clinically tested in the course of 45 hemosorption procedures.

[Postoperative analgesia in abdominal surgery: a new look at an old problem]. / Posleoperatsionnoe obezbolivanie v abdominal'noi khirurgii: novyi vzgliad na staruiu problemu.

Analgesia in abdominal surgery is a sufficiently complicated problem. The extensive surgeries in the abdominal cavity are concomitant with massive tissue damages and are associated the systematic tissue inflammatory response to an intensity of the pain syndrome and of other postoperative complications. The modern understanding of surgical-trauma pathophysiology is indicative of the necessity to modulate the systemic inflammatory response whose severity is preconditioned not only by postoperative pain intensity but also by surgical results. With respect to the above stated, multi-model analgesia can be regarded as an optimal technique since it presupposes the long-term administration of local anesthetics (preferably 0.2% ropivakain) concurrently with non-steroid anti-inflammatory drugs used preoperatively (the most effective one is lornoxicam).