[Readaptation after total intravenous anesthesia in one-day surgery]. / Readaptatsiia posle total'noi vnutrivennoi anestezii v khirurgii odnogo dnia.

The authors analyze the stages of readaptation and recovery of clear consciousness in the immediate postoperative period in 200 patients administered one of the four variants of intravenous anesthesia in a one-day surgical hospital. The purpose of this work was to optimize the anesthetic care and the readaptation period. The stages of readaptation were assessed by psychophysiological testing. This process coursed most smoothly after propofol-phentanyl and hypnomidate-phentanyl anesthesia. Readaptation after sombrevin-phentanyl coursed reliably slower. The longest recovery was observed after calipsol-diazepam anesthesia, despite drug stimulation. This type of narcosis is irrational for one-day surgery, for it requires prolonged postoperative monitoring and thus makes the hospital stay longer.

[Kalipsol-based balanced intravenous anesthesia in pediatric outpatient dental practice]. / Sbalansirovannaia vnutrivennaia anesteziia na osnove kalipsola v detskoi ambulatornoi stomatologicheskoi praktike.

Basing on clinical studies of anesthesia in 568 children, central hemodynamic studies, analysis of the blood acid-base balance and gases, glycemia level, and assessment of the psychoneurologic status, the authors validate the usefulness of calypsol-based anesthesia in practical outpatient pedodontics. Such anesthesia did not influence the stability of central hemodynamics parameters, nor did it change the acid-base balance and blood sugar level; it provided an adequate protection of the patient from surgical stress with the adaptation mechanisms remaining intact. The child may leave the clinic 2.5-3 h after the intervention and a test for adequate adaptation to the environment. Calypsol-based balanced anesthesia improves outpatient care of the children, introduction of this method into practice will bring about a good economic effect.