Vol 337, No 7 (2016)

The aim of the study was to compare the effect of sevoflurane and desflurane on the rate of patient awakening from anaesthesia, recovery of orientation, memory and concentration, and the incidence of side effects after elective surgery on the brain. The study included 42 patients, divided into two equal groups. In the first as the main anaesthetic used sevoflurane, in the second - desflurane. Wake-up time, and extubation of recovery of consciousness after desfluranom was less than when using sevoflurane as a anesthetic by 185, 301 and 296, respectively. Time needed for orientation, memory and concentration recovery varied in 15 and 30 minutes (in the desflurane group were faster) after waking up with full recovery in the preoperative level after 2 hours. Using desflurane was not accompanied by deterioration in the operations environment and does not lead to an increase in the number of adverse postoperative phenomena.

To temporarily stop of external bleeding traditionally use a pressure bandage or tourniquet, but not for all types of wounds it is possible and appropriate to apply these dressings. In recent times there has been significant progress in the development and improvement of local haemostatic agents used for the first aid. There are currently conflicting information about their effectiveness, presented by various authors, requires standardization of experimental models for pre-clinical testing of medical devices in this class. Following a review of domestic and foreign literature proposed to standardize external bleeding model for assessing the effectiveness of local haemostatic agents.

Determining the optimal treatment strategy and the subsequent treatment of pregnant women with burns require the collaborative work of doctors of various specialties with relevant experience and high qualification. There are no so many researches on this issue, and most of them is written in the second half of the last century. In this regard, the authors compiled and analysed available on the considered issues of data presented in the foreign literature from 1958 to the present.

In the article presented treatment strategy, developed for patient with injuries on the background of purulent necrotic fasciitis using a wound dressing under condition of base hospital. Early surgical treatment, modern antibiotics, wound dressings allow in the short term to stabilize a wound healing process and restore the skin.

The efficiency of the use of microwave therapy and bactericidal ultrasonic humidification for medical rehabilitation of patients with combined pathology - chronic obstructive pulmonary disease and coronary heart disease. It has been established that its employment, in common, leads to an improvement in the functional state of the cardiorespiratory system and the psychological state of the patients, which ensures growth of the rehabilitation effect.

The article analyzes the experience of medical support of the Red Army troops during the Battle of Kursk (July-August 1943). The data characterizing particular forms and methods of work of the medical service of the fronts in the dynamics of the defensive and offensive operations. The basis of the organization of medical evacuation support was a continuous movement of medical institutions for the conduct of the troops and treating the injured on the spot. The succes of the Medical Service was possible thanks to the mobility and manoeuvrability of surgical forces, the formation of emergency medical teams gain and mobile surgical teams, echelonment specialized medical care. Activities carried out to provide various types of medical care - on the battlefield, in the regimental and divisional health centres, hospitals - allowed to return in order to 180 000 wounded and sick. Due to the effective anti-epidemic protection could prevent the spread of the troops of mass infectious diseases.

The Volgograd military hospital in July 2016 celebrates the 75th anniversary. Frontline formation of the hospital later played a significant role in successful work and feat of arms in local conflicts. For decades, the hospital features a high professionalism and cohesion of the team, the pursuit of the development and adherence to traditions.

A report on the research-to-practice conference «Influenza A/H1N1», which was held in February 2016 in Moscow, is presented. The programme of the conference included reports of the leading experts of the Ministry of Defence, civilian healthcare, and the Russian Federal Service on Surveillance for Consumer rights protection and human well-being. During the conference were defined promising diagnostic methods, directions of antiviral and antimicrobial therapy, the issues of intensive treatment and prevention of influenza and pneumonia.