[Patient-controlled postoperative analgesia in obstetrics and gynaecology].

A prospective study researches features of patient-controlled epidural analgesia (PCEA) in 42 women after cesarean section, mid- and high-traumatic gynaecological surgery. It was found out that the quality of while using the PCEA is significantly better than while using a traditional parenteral infusion of analgesics. Use of PCEA favours the circulatory and breathing systems functioning. Compared to continuous epidural infusion of analgesics and anaesthetics, use of PCME returns the expenses better due to less consumption of the drugs up to 35% during the first 24 hours after the surgery. This method is suitable for continuous estimation of the pain therapy.

[Assessment of the state of water sectors in neurosurgical profile patients in the pre-, intra- and postoperative periods]. / Otsenka sostoianiia vodnykh sektorov u bol'nykh neirokhirurgicheskogo profilia v do-, intra- i posleoperatsionnom periodakh.

The state of water sectors has been analyzed at the stages of preparation to and performing anesthesia as well as in the early postoperative period in neurosurgical patients in connection with planned surgical procedures (37 cases). The impedance method of control of the hydration degree before operation allowed to find out a risk group--hypohydrated patients. In most cases the detected disturbances of the water-electrolytic balance could not be diagnosed clinically. Despite a relative stability of traditionally analyzed indices of circulation during anesthesia, the reactions of central hemodynamics were more pronounced than could be considered undesirable. The analysis performed makes a foundation for optimization of infusion and cardiotropic therapy both during anesthesiological maintenance of neurosurgical procedures and at the postoperative period.