[A retrospective comparison between clinical cases and graphs of biorhythms]. / Retrospektivno sravnenie mezhdu klinichni sluchai i grafikite na bioritmite.

The present article develops the hypothesis of the biorhythms in a retrospective study of 50 normal parturitions, 13 premature births of dead fetuses, 9 premature rip off of the placenta, 4 caesarean sections with spinal anaesthesia and unmotivated high arterial pressure and 2 cases of clinical death, one of which treated successfully to life again. The results show high mathematical probability, i.e. 53% of all the incidents had happened exactly in the most critical days. The authors consider correctly that a number of preliminary planed surgical interventions could be in conformity not only with the determined by the biorhythms days but with the most convenient for the patient hour, too. And this is a routine already in a lot of western countries, and especially in the fields of oncological surgery.

[Our experience with spinal anesthesia in cesarean section]. / Nashiiat opit sus spinalna anesteziia pri tsezarevo sechenie.

The study included 400 women, undergone delivery by cesarean section (300 retrospectively and 100 prospectively) for a 2-year period. The influence of the spinal anaesthesia was investigated on the hemodynamics of the mother and the clinical state of the newborn (according to Apgar). The spinal anaesthesia occupies substantial place among the methods, used for anesthetization in cesarean section. The authors are of the opinion that the spinal anesthesia is quick, easy for technical performance and effective method for anaesthesia in cesarean section, accompanied by few complications and side effects.

[Attempt to eliminate residual somnolence and disorientation with nivaline after anesthesia with ketalar and diazepam for minor obstetrical and gynecologic surgery]. / Opit za otstraniavane na ostatuchnata somnolentnost i dezorientatsiia s nivalin sled anesteziia s ketalardiazepam pri malki akushero-ginekologichni operatsii.

PIP: Effectiveness of the anticholinergic agent nivaline to prevent side-effects of anesthetics ketalar and diazepam was studied in 40 pregnant women (15-40 years old) undergoing induced abortion during the 1st trimester. The patients were divided into two groups. Group 1 included 20 patients who received anesthesia with diazepam (10 mg) and ketalar (50-70 mg) alone. Group 2 included 20 patients undergoing anesthesia under diazepam-ketalar in combination with nivaline (10 mg, iv) during an early postoperative period. The degree of somnolence and disorientation was assessed immediately after anesthesia, and 5, 10, 15, 30 and 60 min after surgery using a scale of 1 to 4 (from response to verbal commands and pain stimulus to complete absence of response). The patients in group 2 were more alert than the patients in group 1 only 5, 10 and 15 min after surgery.^ieng