[Diagnostics and treatment of sepsis in the acute phase of severe heat injury].

A prospective non-randomized, single-centered controlled study aimed the optimization of treatment and diagnostic algorithm of the early burn sepsis. 47 patients were included. The combination of bacterial wound colonization and procalcitonin blood level > or =2 ng\ml was the reliable marker of the early burn sepsis and indicates the necessity of de-escalation antibiotic therapy.

[Modern approaches to volemic compensation in children with severe thermal injury during acute period].

To determine the minimally allowable levels of oxygen delivery and consumption in infants with acute severe thermal injury, the authors studied the oxygen transport system in 36 patients aged 1 year and 2 months to 3 years who had burns of more than 15%, but less than 50% of the body surface in February 2001 to January 2004. The findings indicate that in infants, the acute period of thermal injury is characterized by oxygen debts despite the hyperdynamic circulatory regimen. By calculating the coefficients of paired correlation and deriving the linear regression of oxygen uptake with other parameters of the oxygen transport system, the authors estimated the minimum allowable levels of performance of the oxygen transport system: less than 623.2 ml/min/m2 for oxygen delivery, more than 190.0 ml/min/m2 for oxygen consumption with the cardiac index of greater than 4.31 l/min/m2.

[Results of clinical use of the polyfunctional lithotripsy device "Dornier-U 50"]. / Rezul'taty klinicheskogo primeneniia polifunktsional'nogo litotriptora "Dornier-U 50".

The review of the results of clinical application of a polyfunctional lithotriptor Dornier-U50 in urolithiasis patients is presented. The treatment of 324 patients produced good results of lithotripsy in uroliths of any location in generating high-energy shock waves. Complete fragmentation was achieved in 86.4%, partial one--in 11.7%. Complications occurred in 9% of which 5.3% were cases of upper urinary obstruction. The Dornier-U50 lithotriptor can be used for both extracorporeal lithotripsy (under x-ray and ultrasound targeting) and various endoscopic operations under x-ray telecontrol. This allows maximal utilization efficiency of this equipment in diagnosis and treatment in urological hospitals.

[Dose loads on the patients in extracorporeal shok-wave lithotripsy (ESWL)]. / Dozovye nagryzki na patsientov pri distantsionnoi udarno-volnovoi litotripsii (DUVLT).

The method of extracorporeal shock-wave lithotripsy (ESWL) is widely practiced in urology as effective and less traumatic. Utilization of x-ray and video control during ESWL sessions raises the problem of radiation protection of the patient and medical personnel as well as registration of the exposure dose for estimation of further permissible doses. The examination covered 48 patients of different age suffering from urolithiasis. All of them received ESWL treatment using units URAT (Russia) and LITOSTAR (Germany) having x-ray positioning. It was found that mean effective dose load for LITOSTAR unit was higher than for URAT unit. The larger part of the dose is generated while localizing the stone and focusing. URAT is furnished with logements protecting vital organs. This is of particular importance for children. ESWL departments with TV x-rat system should meet the requirements for jobs with occupational hazards. In multisession lithotripsy dynamic monitoring should be performed by ultrasound X-ray examination should be employed only in growing dilatation of the renal pelvis, prodromal signs of acute pyelonephritis and failure of the effects to eliminate concrements.