[Consciousness during anesthesia for cesarean section]. / Nalichie na suznanie po vreme na anesteziia pri tsezarevo sechenie.

47 women on which sectio cesarean has been done in occasion of belvic-fetal disproportion, anatomical abnormalities of the pelvis, bad position of presentation. We studies presence of consciousnes spontaneous realtion to pain and possibility for contact according the method of Tunstall M.E. It was proved that the use of benzodiazepin derivate--Dormicum impacts substantially influensences of the studied processes. Introduction anaesthetics (thiopental-kalipsol, dormicum-kalipsol and thiopental and helothan in 0.3%) are reliable protection against the operative stress during sectio cesarean and give adequate anaesthesia until baby is born.

[The effect of different types of premedication on gastric juice volume and pH]. / Vliianie na razlichni vidove premedikatsiia vurkhu obema i pH na stomashniia sok.

60 pregnant women and 60 parturients treated with selected surgery were studied according to the influence of different types premedication on the gastric juice volume and pH. Parturients were divided into six groups (AI-AVI) with 10 participants in each one. Groups were comparable for a variety of signs-age, type and duration of the surgical procedure and methods of carrying out the general anaesthesia. Surgically treated patients were also divided into six groups (from B 1 to B), each group containing ten patients with similar symptoms. This makes possible comparison between them. Parturients from group AI were given each 0.007 mg/kg/body weight atropine i.v. 20 min before introduction in anaesthesia; group A II-0.014 mg/kg/body weight metacin; group AIII-0.3 mg/kg/body weight alkosin; group AIV-o.014 mg/kg/body weight metacin and 0.21 mg/kg/body weight dimidrol. Parturients from AV were given each two measure spoons Almagel A per os-an antacid drug-30 min before introduction in anesthesia and 0.007 mg/kg/body weight atropine i.v., introduced 20 min before the beginning of anesthesia. The parturients from group AVI were given each 400 mg H2 blocker (2 tabl.) per os-cimetidine-2 hours before the beginning of anesthesia and atropine 20 min before introduction in anesthesia in the same dosage as for the parturients from group AV. Surgically treated patients from group BI received as a premedication the following drugs 20 min before the beginning of anesthesia: atropine-0.007 mg/kg/body weight, fentanyl-0.001 and droperidol-0.03 mg/kg/body weight introduced i.v. Group BII-geluzil liquid-2 tea spoons 30 min before introduction in anesthesia and atropine i.v. 20 min at the beginning of anesthesia; group BIII received as a premedication dormicum-0.1 mg/kg/body weight and atropine in the same dosage as for the patients from group BII. Group BIV received as a premedication 20 ml 8.4% solution of sodium bicarbonate per os 20 min before the beginning of anesthesia and atropine in the same dosage as the patients from group BIII; BV received 0.003 mg/kg/body weight gastrodin, introduced i.v. 20 min before the beginning of anesthesia. Patients from group BVI received as a premedication for 2 hours before the beginning of anesthesia gastrozepin 2 tabl. (50 mg) per os and atropine in the same dosage as the patients from group BII. Gastric juice was taken by means of nasogastric tubing immediately before premedication, introduction in anesthesia and its end to fix its pH. The volume of gastric juice generated during the surgical procedure was determined before extubation.(ABSTRACT TRUNCATED AT 250 WORDS)

[Late results of primary suturing of the tendons of the flexors of 3-phalanx fingers in the first segment]. / Otdalennye rezul'taty pervichnogo shva sukhozhilii sgibatelei trekhfalangovykh pal'tsev ruki v pervoi zone.

The primary suture was put in 40 patients with 55 injuries of the tendons. The study of the long-term results of the treatment after putting the primary suture on 40 tendons of the flexors of the fingers of the hand has shown that in 21 patients who were put the sutures proposed by the authors there were excellent and good results in 90.4% of the cases. When classical sutures were put and the fingers were immobilized after the operation in 19 patients, the results were excellent and good in 84.3% of the cases, which was mostly at the expense of tenodesis effect in the distal interphalangeal joint.