[Sodium balance impairment in a child with severe traumatic brain injury].

We report a case of cerebral salt-wasting syndrome in a 12-year-old boy with severe traumatic brain injury. The child developed refractory intracranial hypertension at the time of injury, which required decompressive craniectomy on the 7th day after injury. Infusion of hypertonic sodium chloride solutions performed at the intensive care unit resulted in hypernatremia on the 5th day and polyuria and hypovolemia on the 11th day, which was regarded as manifestations of central diabetes insipidus.

[Severity of the lung disease index in infants with respiratory distress syndrome].

Unlabelled: Optimization of respiratory support and prevention of ventilator-associate lung injure are the most important problems of neonatal resuscitation and intensive care.

The Aim Of The Study: To improve the results of intensive care for respiratory failure in preterm infants by optimizing respiratory support on the basis of the analysis of the biomechanical characteristics of the lungs and blood gas.

Materials And Methods: The study included 138 infants with birth weight 1500g (1300-1740g) and a gestational age of 30.

[Intraoperative correction of temperature homeostasis disturbances in children].

Some features of temperature homeostasis regulation during the intraoperative period and methods of its correction with a balanced fluid therapy are described. The possibility of using infusion of antihypoxants and amino acid solutions to maintain optimum body temperature during the perioperative period is considered. The study was performed on a group of 107 children of various age, which underwent a surgery of thoracic or abdominal cavity.

[Alveolar mobilization maneuver during intensive care of neonatal respiratory distress syndrome].

The research is devoted to the assessment of the impact of the method of anesthesia on the psychoneurological status of a newborn during surgical delivery. It is revealed that subarachnoid anesthesia does not adversely affect the central nervous system of a newborn and is one of the best options for anesthetic management during surgical delivery because it provides a sufficient level of analgesia and is of a greatest safety for mother and child.

[Effect of anesthesia on neurological status of newborns in abdominal delivery during early postnatal period].

The publication is devoted to the case of the successful application of alveolus mobilization maneuver in infants with respiratory distress syndrome and demonstrates the high clinical efficacy of this method of respiratory support, not only during expressed hypoxemia, but also during hypercapnic respiratory failure.