[Optimization of antibacterial therapy in operated neonates on the basis of early diagnosis of septic complications].

The paper is based on the results obtained during examination and intensive care in 175 neonatal infants operated on for various malformations who were treated in the pediatric intensive care unit, Moscow Regional Research Institute of Clinical Studies, in 1998 to 2000. Analyzing the results has indicated that 24% of the patients have signs of early sepsis just within the first 24 postoperative hours. The marker procalcitonin was determined in 75 neonatal infants. The studies performed lead to the conclusion that procalcitonin is a highly sensitive and specific marker of sepsis by which postoperative septic complications can be diagnosed in the early periods. The early diagnosis of sepsis, by using the marker procalcitonin permitted timely rational correction of antibiotic therapy, which improved the basic parameters of treatment and reduced deaths from septic complications from 48 to 36%.

[New methods and modes of operation of type PO artificial respirators]. / Novye sposoby i rezhimy ispol'zovaniia apparatov iskusstvennoi ventiliatsii legkikh tipa PO.

Some simplest attachments and manipulations are described which permit Soviet commercially available ventilators of the PO-type to be used in performing new methods and modes of respiratory therapy--PEEP (positive end expiratory pressure), CPAP (continuous positive airway pressure), and IMV (intermittent mandatory ventilation).

[System of technical facilities for equipping the anesthesiologist's work place in the operating room]. / Kompleks teknicheskikh sredstv dlia osnashcheniia rabochego mesta anesteziologa v operatsionnoi.

The authors proved the advisability of complex technical provision for certain functional cycles, or parts of medical technological process. The example given is a modification of working place for anesthesiologist at the operating theatre. Principle and additional devices included in the complex are specified.