[Nutrition support for patients-servicemen in military-medical organizations of the Ministry of Defence].

Analysis of the state of nutritional support in military medical institutions of the Ministry of Defence of the Russian Federation. In order to study the state of nutritional support chiefs (heads) of anaesthesiology and resuscitation military medical organizations of the Ministry of Defense of the Russian Federation on the practice of Clinical Nutrition were interviewed. These amounts reflect the organization, strategy, equipment and the need for means and methods of nutritional support, depending on the level of the organization, as well as provide a basis for improving the practice of nutritionally metabolic support in critically ill patients.

[Our experience of the clinical use of desflurane].

Despite the widespread use of inhalational anaesthetics in modern medical practice it is still unable to create an "ideal" anesthetic, which meets the following requirements--maximum performance, security, and manageability. Desflurane is an inhalational anaesthetic, which first appeared on Russian market in 2013, according to the specifications meet the above-mentioned requirements. The results of the use of Desflurane during anaesthesia in 157 patients of the Cancer Department and Department of Oral and Maxillofacial Surgery at the Burdenko Main Military Clinical Hospital are given. The main advantages are the rapid achievement of Desflurane required depth of anaesthesia, minimal effects on the cardiovascular system, good handling, fast and safe awakening of the patient after surgery, which can make it "anaesthetic of choice" for long surgical procedures and outpatient surgery.

[The influence of the postoperative nutritional support on immune status in patients undergoing abdominal operations].

At the present day inclusion of the immune enhancing enteral nutrition in the program of the postoperative nutritional support is considered to be the most prospective method of the treatment of intestinal failure, hypermetabolism, hypercatabolism and systemic inflammatory response syndrome in patients undergoing abdominal operations. 60 patients, undergoing gastro-pancreaticoduodenal resections and gastrectomy, were examined. During the postoperative period the first group (experimental group) received standard enteral nutrition. The second group (control group) received immune enhancing enteral nutrition. It was revealed that immune enhancing enteral nutrition modulates the immune response and provides its stability in patients undergoing abdominal operations.