[Combined use of local anesthetic with clonidine in cases of tooth extraction].

The technique of local anesthesia by lidocain in combination with clonidine (clofelinum) as vasoconstrictor in the dose of 1 microg/kg was compared with local anesthesia by novocain in combination with adrenaline (1:200 000) or by lidocain without vasoconstrictor or by articain in combination with adrenaline (0.012 mg/ml). Lidocain use led to expressed tachycardia and considerable increase of cardiac oufput in moderate hypertension reactions.

[Combined premedication at adenectomy in children].

Adenoid vegetation is a frequent pathology in children, and adenotomy (AT) is the only method of its treatment. The problem of anesthesia at AT has always remained an acute one: the risk of general anesthesia exceeds manifold the risk of intervention itself. At the same time, the local anesthesia is not always an method, therefore, the authors put the goal to improve it through potentiating.

[A method for potentiation of local anesthesia for tooth removal and pulp extirpation].

Local anesthesia can be considered adequate in 22% cases, which is explained by the absence of inhibitory effect on allogens, persistence of psychoemotional tension, and effector reactions. Therefore it is recommended to potentiate local anesthesia by a drug complex including analgesic ketrodole, tranquilizer diazepam, and alpha-adrenoagonist clofelin, used transbuccally 8-10 min before anesthesia. This pretreatment 3-fold increased the adequacy of local anesthesia for tooth removal and pulp extirpation.

[General status of patients before dental treatment].

Arterial pressure (AP), heart rate, and stress index (estimated by ECG) were measured in 20 patients several minutes before dental treatment. Systolic AP was normal in 56% patients (mainly elderly), diastolic was normal in 50.5% and increased in 36% (particularly so in elderly patients).

[Adequate analgesic sedation: an alternative to general anesthesia in ambulatory settings].

A tendency to treatment in an outpatient setting implies development and more often use to outpatient anesthesias. Improving of general anesthesia is to be supplemented by wider use of analgosedation, which causes less vital complications. Intravenous and noninvasive methods of analgosedation are described, their adequacy is evaluated, and indications for their use are defined.

[Potentiation of local anesthesia in endonasal surgery].

An original method of buccal administration of the drugs (by means of chewing gum) was tried in 30 patients aged 18-33 years. The drugs (ketrodol--0.5 mg/kg, diazepam--0.