[General anesthesia tools in endovascular surgery of the conductive heart system]. / Metody obshchei anestezii pri éndovascularnykh operatsiiakh na provodiashchei sisteme serdtsa.

The anesthetic management course was analyzed in 224 patients who underwent nonvascular surgeries on the conductive heart system. Analgesic and anti-stress techniques, which do not affect the intracardial conductivity and ensure the successful outcome of surgery with spontaneous or auxiliary ALV, were designed on the basis of research. The above schemes were introduced in practice with their efficiency being confirmed. They are based on a balanced use of the new-generation non-steroid anti-inflammatory drugs, like Xephocam, bezodiazepines and fentanyl (when used at subnarcotic doses that do not affect the intracardial conductivity). The main analgesic component of lornoxycam was sufficient when used at a dose of 0.1 mg/kg and at a total dose of equal to or below 16 mg.

[Anesthesiology in the surgical treatment of supraventricular tachyarrhythmias]. / Anesteziologicheskoe obespechenie pri khirurgicheskom lechenii nadzheludochkovykh takhiaritmii.

Different anesthesias were used in 197 patients operated for supraventricular tachiarrhythmias through a transvenous access. Hypnoanalgesia based on preventive injection of a potent nonnarcotic antiinflammatory agent xefocame (lornoxicame), drip infusion of propofol (2-3 mg/kg/h), and bolus injection of dormicum under conditions of spontaneous respiration proved to be the best method.

[Time-dependent effect of metoprolol in middle-aged and old patients with angina]. / Vremia-zavisimyi effekt metoprolola u bol'nykh stenokardiei srednego i pozhilogo vozrasta.

As shown by X-ray clinical and laboratory examinations of 495 patients over 18 years of age with primary tuberculosis of the respiratory organs, among primary forms of the specific process most prevalent are tuberculosis of the intrathoracic lymph nodes (tumor form), infiltrative tuberculosis with preroot or lower lobe location and exudative pleurisy. The peak of the incidence was reported in the group of 20-25-year-olds. The disease took an cute course with severe intoxication and symptoms of bronchopulmonary involvement in 45.3%, a torpid course with scare symptoms in 49.7% and a chronic course of primary tuberculosis in 5.0% of the examinees. Paraspecific reactions were observed in 5.9%, hyperergic tuberculin tests typical for primary tuberculosis in 10.9% of the cases. The examination of the sputum for bacterial and altered forms of M. tuberculosis raised frequency of the diagnosis verification by 16.0%. Respiratory tuberculosis in adults runs in the presence of marked disorders in lymphocyte T- and B-systems, antituberculous immunity and metabolic processes. Incidence rate and intensity of the above disorders correlate with severity of tuberculous intoxication and tuberculous lesions. The informative value of the complex of clinicoroentgenological and immunological tests in the diagnosis of primary tuberculosis varies from 44.4 to 79.6% and from 28.3 to 77.5% in dependence on the immunological and biochemical test, respectively.