[Analgesia in the acute period of myocardial infarct under hemodynamic and respiratory functional control]. / Obezbolivanie v ostrom periode infarkta miokarda pod kontrolem gemodinamiki i funktsii dykhaniia.

The authors have tested various methods of analgesia and their clinical effect on the haemodynamics and respiration of patients with acute myocardial infarction. A hundred observations on 70 patients have been made. Haemodynamics was studied with a non-invasive method of integral rheography, and the respiratory function was evaluated by a combination of varying diagnostic rapid methods. With effective analgesia by different methods there was a decrease of oxygen utilization, minute ventilation of the lungs, of metabolic acidosis and of hyperfunction of the myocardium. The results justify the conclusion that timely analgesia is not a symptomatic method of treatment, but an important therapeutic measure of therapeutic measure as it ensures favourable action on haemodynamics and metabolism.

[Intensive therapy and resuscitation of heart rhythm disorders in myocardial infarct patients and the role of express methods of controlling respiratory function]. / Intensivnaia terapiia i reanimatsiia pri narusheniiakh ritma serdtsa u bol'nykh infarktom miokarda i rol' ékspress-metodov kontrolia funktsii dykhaniia.

The authors used a complex of express methods to examine respiration and acid-base equilibrium in the unit of intensive care and therapy. Examination by means of these methods during intensive therapy and resuscitation helps in individualizing the therapeutic measures. Various individual disorders of respiration were revealed during electroimpulse therapy in paroxysms of tachyarrhythmia, but the final effect of this treatment in restoration of the sinus rhythm had a beneficial influence on the dynamics of cardiogenic respiratory insufficiency.

[Certain problems of intensive therapy of acute myocardial infarct]. / Nekotorye voprosy intensivnoi terapii ostrogo infarkta miokarda

Using the whole set of modern methods of examinations of the external respiration function, acid-base balance, as well as of the determination of various biologically active substances--catecholamines, glucocorticoids, aldosterone, kinines, the authors were guided in conducting intensive therapy for myocardial infarction by the measurable functional and metabolic disturbances. This permitted to optimatize the employment of therapeutic neuroleptanalgesia in the acute period, to assess the efficacy of some new drugs, glukagon including to give recommendations as to the perfection of the organizational principles of intensive therapy.