[Development of the criteria for the establishment of working program at the critical care clinics].

It is summarized the Critical Care Medicine Institute's long-term experience that will make critical care medicine service operation more effective. The retrospective analysis of patients data was conducted. Currently admission rate amounts to 5939 patients (100%) and mortality rate is equal to 35,6%. Maximum admission occurs per season in spring-27%, per month in May - 10% , per week in first week of the month - 27% and per hour during 18-24 hr - 35%. Maximum mortality takes place per season in spring - 28%, per month in April and December - 12%. Among critical patients nervous system pathology is leading - 24%; rate of polytrauma is also high - 22%. Maximum mortality equal to 36% occurs at nervous system pathology. Mortality at polytrauma is about 20%.

[Treating bronchoscopy at ventilator-associated pneumonia in critically ill patients].

On the material, based on the experimental treatment of broncho-pulmonary derangements, including ventilator-associated pneumonias, at 105 critically ill patients, the authors recommend methods of prophylaxis and treatment of these types of pathologies, which are based on the suction fibrobronchoscopy with the use of different suction mixtures. The more satisfying evolvement of pathological processes, decrease of the expressing of the degree of clinical appearance and intoxication, the indisputable improvement of dynamics of the condition of the patient and subsidence of the average continuation of treatment prove the advantage of this method. The important economical effect is also achieved with the subsidence of the price of daybeds, decrease of the expenses of the diagnostics and cures. The achieved results give us the permission to recommend the widespread use of the treating suction fibrobronchoscopy when treating patients with acute diseases of lungs, advantages at VAP. The expressed efficiency, reliability and the important economical effect are the base priorities of this method.

[Endoscopic treatment in critically ill patients with upper gastrointestinal bleeding].

The goal of the current research was to ascertain the optimal methods of an endoscopic haemostasis in critical care patients with GDB. The research was conducted on critically ill patients. The different endoscopic methods of treatment: injectional hemostasis, irrigation with local hemostatics, thermo coagulation, and combined method were used. Treatment with injectional hemostasis resulted in hemostasis in 75% of patients. Irrigation with local hemostatics was conducted using the local hemostatic agent caprofer and (or) 10% solution of epsylonaminocapronal acid. The final hemostasis was achieved in the 90% of the cases; bleeding was stopped in 85% of the cases when the hemorrhages occurred from chronic ulcers. The effect of thermo coagulation method was 80-85%. Combined method of treatment (combination of the irrigation with caprofer and thermo coagulation) helped to achieve 95% of the final hemostasis in critically ill patients. The achieved results certify that the combined use of caprofer and method of electro coagulation in critical care patients with GDB is very perspective. Simultaneously with this, it is also recommended to use anti-segregation therapy with blockers of proton pomp and boosting the defense of the mucous tissue with high doses of mucogen.

[The influence of the plasma radiation, external electrical pacing and nitroglycerin on precursor cells in critical patients].

Research aims to find out best medical therapy in treatment of critical patients. The treatment of the critical patients by a combination of the skin surface plasma radiation, external electrical pacing and i.v. infusion of adequate dozes of nitroglycerine in comparison with traditional methods of treatment within first two weeks promote to stable, besides statistically significant growth of the bone marrow and peripheral blood cells quantity, including precursor and immunocompetent cells, erythrocytes, leucocytes, especially its young forms and thrombocytes, normalizes the respiratory and metabolic components of the acid-base balance, increases surviving of the patients, reduces frequency of complications and category of the invalidity and the cost and duration of the treatment.