[Hyperventilation syndrome and its clinico-pathogenetic importance in autonomic disorders of a psychogenic nature]. / Giperventiliatsionnyi sindrom i ego kliniko-patogeneticheskoe znachenie pri vegetativnykh rasstroistvakh psikhogennoi prirody.

The role of hyperventilation-induced shifts in the pathogenesis of different kinds of autonomic disorders (autonomic paroxysms, syncopal states, allergic signs) was investigated in 156 patients. This role should be considered in therapeutic interventions, especially in respiratory training aimed at correcting the respiratory pattern in order to achieve psychoautonomic stabilization. Distinct pathogenic mechanisms of combined hyperventilation and autonomic disorders are discussed.

[Correction of the breathing in the treatment of bronchial asthma by means of biological feedback]. / Korrektsiia dykhaniia pri lechenii bronkhial'noi astmy metodom biologicheskoi obratnoi sviazi.

The development of nondrug therapies for bronchial asthma (BA) is highly pressing. The application of respiration-correcting methods and means that implement a principle of biological feedback (BFB) is one of the promising lines. To polish procedures for practical work and to evaluate their efficiency, a respiration corrector has been devised, which visualizes a patient's external respiration rhythm and synchronizes it with the reference rhythm whose parameters are set by a physician or by a patient himself. The efficiency of BFB technique was evaluated in the treatment of BA in children. Studies using the device were done 2-3 times a day with 15-20 min in each session. The treatment regime averaged a fortnight. Its application relieved the occurred episode without drugs in most children with mild and moderate BA, prevented attacks and made them fewer, prolonged remission, and reduced the amount of bronchodilatating agents to be used. BFB correction made under the polyclinic setting is indicated for patients with mild and moderate atopic BA in the episode, postepisode, and interepisode periods and contraindicated for patients with severe BA when they have an episode. Treating BA via BFB correction diminishes psychosomatic disorders: anxiety, bronchodilator dependence, fear of a recurrent episode, whining, irritability, and insomnia.

[Clinical and experimental grounds for the method of spontaneous respiration with difficult exhalation (lung inflation) in children]. / K klinicheskomu i eksperimental'nomu obosnovaniiu metodiki spontannogo dykhaniia s zatrudnennym vykhodom (razduvaniia legkikh) u detei

Three methods of inducing difficulty in breathing out in spontaneous ventilation are described: by means of a valve attached to an intubation tube (I), with a polyethylene sac secured hermetically on patient's head and connected to a source of oxygen (2), and also with the help of a low-pressure chamber for patient's body (3). Experiments and clinical observations (40 therapeutic seances in 23 children aged from 1 day to 7 years) have evidenced that this method is mostly more advantageous than artificial ventilation, it is highly efficient in treatment of aspiration pneumonia and pulmonary edema, also it may be used with prophylactic purposes following aspiration, artificial ventilation, in the immediate postoperative period, and after hyperbaric oxygenation.