[Perioperative nutritional support for surgical patients].

The article presents an algorithm for perioperative nutritional support of surgical patients operated on as planned. Today, planned surgical care is provided in accordance with the canons of the accelerated rehabilitation Program (ARP). The relevance of the problem of nutritional insufficiency, which is an important component of ARP, is due to the dependence of the results of surgical treatment on the initial nutritional status of the patient.

[Elective surgery and oral carbohydrate loading].

Objective: To evaluate the effect of preoperative oral carbohydrate loading on the course of perioperative period.

Material And Methods: We examined 93 patients who underwent elective abdominal and retroperitoneal surgery. In the main group (=47), carbohydrate drink was prescribed prior to surgery (33.

[Enhanced recovery protocol in gerontological colon cancer patients].

To develop enhanced recovery protocol for elderly and old patients in elective colon cancer surgery. In Russia as in the most world countries the biggest frequency of colon cancer are among elderly and old people. At the same time surgery treatment of elderly patients compared with young patients accompanied with increased frequency of complications, length of stay in hospital and mortality.

[Accelerated postoperative rehabilitation: multidisciplinary issue (Part 1)].

Aim: To discuss the main aspects of multimodal method of accelerated postoperative rehabilitation (fast track surgery).

Material And Methods: The program of accelerated rehabilitation consists of minimization of surgical treatment's stressful influence on patient's organism in perioperative period. The method implies use of efficient preoperative management, minimally invasive operations, regional anesthesia and short-acting anesthetics, early postoperative rehabilitation.

[OPTIMIZATION OF PRECLINICAL TRAINING OF ANAESTHESIOLOGISTS BASED ON THE FORMATION OF PATHOGENIC SIMULATION LEARNING ENVIRONMENTS].

Simulation training has become an important component of the postgraduate training of anaesthesiologists for several reasons: organizational difficulties in obtaining primary professional skills in a clinical setting, the opportunity to study in a hospital existing pathology only and not planned in accordance with the curriculum. This increases the risk of medical malpractice of young specialist and study may be accompanied by complications and increasing the cost of treatment. In our work, we have studied the factors of continuity of preclinical and clinical stages of anaesthesiologists training in inhalation anaesthesia based on the use of modern simulation technologies.

Cerebral dysfunction as a component of multiple organ failure in surgical patients (lecture).

Development of delirium in critically ill patients is considered complication of basic disease which increases patients' hospital stay, mortality rate and the cost of treatment. Despite wide prevalence delirium often remains undiagnosed by physicians in ICU. Routine use of screening scales permits to diagnose delirium timely.

[New approach to postoperative delirium treatment].

The efficiency of different drugs for sedation was studied in 51 patients after large abdominal operations complicated by postoperative delirium. Diagnosis of postoperative delirium was established according to CAM-ICU criteria. Dexmedetomidine has demonstrated significantly decreased duration of delirium and hospital stay in intensive care unit in comparison with haloperidol.

[Anesthetic management of robot-assisted radical prostatectomy].

The authors have an experience in performing of 700 radical prostatectomies by using of daVinci-robot. The main factors determining parameters of operation and anesthesia are presented in the article. The authors give recommendations for optimization of anesthetic management.

[Optimization of infusion therapy in large abdominal operations].

Volume and consist of infusion therapy determine in many respects postoperative period in patients who underwent large abdominal operations. Purposeful infusion therapy controlled according to monitoring of stroke volume variability is perspective. It was proved that evaluation of this parameter allows to optimize consist and volume of transfused solutions intraoperatively.

[Simulation technologies in anesthesiology, resuscitation and intensive care: state of the problem].

The foundation of simulation technologies application in educational process is presented in the article. It is described difficulties during anesthesiologists-resuscitators training and education of physicians of not intensive care specialty in intensive care methods. It was emphasized that new innovative educational stage is formed at present time.

[Abdominal sepsis and oxidative stress].

Introduction: Oxidative stress deserves special attention in the pathogenesis of sepsis.

Material And Methods: The study included 96 patients with abdominal sepsis caused by advanced suppurative peritonitis and destructive pancreatitis. All patients were divided into 3 groups depending on the severity of sepsis.

[Accelerated postoperative rehabilitation: multidisciplinary issue. Part 2].

Aim: To discuss the main aspects of multimodal method of accelerated postoperative rehabilitation (fast track surgery).

Material And Methods: The program of accelerated rehabilitation consists of minimization of surgical treatment's stressful influence on patient's organism in all stages of perioperative period. The method implies use of efficient preoperative management, minimally invasive operations, regional anesthesia and short-acting anesthetics, early postoperative rehabilitation.

[Comparative effectiveness of different treatment methods of liver failure].

It was analyzed the results of treatment of 217 patients (139 men, 78 women) with chronic liver failure in case of liver cirrhosis of various etiology for study of degree of hepatic encephalopathyregression. All patients were divided into 3 groups. In the first group the drug therapy was used.

[Role and place of albumin dialysis in the treatment of patients with hepatic insufficiency].

The term "hepatic insufficiency" (HI) unites various hepatic dysfunctions that may be further completely compensated and that may progress until coma develops. Comprehensive examination and treatment were performed in 96 patients (64 males and 32 females) with HI. Irrespective of an etiological factor and a HI form, all the patients were divided into three groups.