[Prolonged postoperative analgesia in abdominal surgery]. / Prolongirovannaia posleoperatsionnaia analgeziia pri khirurgicheskikh vmeshatel'stvakh na organakh briushnoi polosti.

One hundred and sixty-two patients operated on organs of lower part of abdominal cavity were studied. All the patients were divided into 3 groups depending on anesthesia method: general, epidural and spinal anesthesia. Efficacy of different methods of intrasurgical anesthesia for prevention of postoperative algetic syndrome and decrease of complications number was compared. It is demonstrated that spinal and epidural anesthesia ensure prophylaxis of postoperative algetic syndrome, but spinal anesthesia is the most simple, safe and cost-effective method.

[Study of mechanisms of the antihypotensive effects of antishock suits in injured with traumatic shock]. / Izuchenie mekhanizmov antigipotenzivnogo deistviia protivoshokovogo kostiuma u postradavshikh s travmaticheskim shokom.

The mechanisms of antihypotensive action of antishock overalls (ASO) were studied on the basis of comparison of 30 patients with traumatic shock at the prehospital stage of medical care; in 15 of these ASO was used, in the other 15 traditional antishock intensive care. Use of a portable device for noninvasive measurement of cardiac stroke volume at the prehospital stage permitted us detect the principal mechanisms of liquidation of shock-induced arterial hypotension with the use of ASO: increase of cardiac output at the expense of autohemotransfusion from the lower part of the body to the upper vital organs with increase in the volume of venous blood restitution to the heart, the increase of total peripheral vascular resistance being negligible. Use of ASO in a complex of intensive care measures for the treatment of traumatic shock at the prehospital stage is physiological and conducive to optimization of medical care rendered to victims at the early stages of treatment.

[Evaluation of the effectiveness of antishock suits at the early stages of the treatment of patients with traumatic shock]. / Otsenka éffektivnosti ispol'zovaniia protivoshokovogo kostiuma na rannikh étapakh lecheniia bol'nykh s travmaticheskim shokom.

The efficacy of the early use of antishock overalls (ASO) as part of intensive care for traumatic shock is assessed in the clinical study performed in 15 patients with severe mechanical trauma complicated with shock. Hemodynamic parameters were compared in groups where ASO was and was not used as part of antishock procedures. High efficacy of ASO use for stabilization of hemodynamic parameters in patients with severe trauma complicated with shock has been demonstrated and the advisability of its use in the complex of intensive care procedures in traumatic shock at prehospital stage has been proved.