[Peripheric blockades in plastic and reconstructive surgery: up-to-date trends and prospects (a 30-year experience)].

The article presents the own 30-year experience in the use of more than 1000 prolonged peripheral nerves and plexus block anaesthesia in reconstructive surgery, based on experimental and clinical studies. The evolution peripheric blockades technique is given:from a separate anaesthesia method to balanced anesthesia based on peripheric blockades. The current state of the problem was analyzed according to the literature.

[Caudal anesthesia and its determinant factors].

In 130 surgical patients with diseases and injuries in the area of the perineum and lower extremities the clinical effects of three modern local anesthetics: 2% solution of lidocaine, 0.5% solution of bupivacaine, 0.75% solution of ropivacaine and their combinations (2% lidocaine and 0.

[Sacral anesthesia, perspectives today].

The paper summarizes the experience of Russian and foreign specialists in dealing with the theoretical and practical aspects of sacral anesthesia. It presents anatomic data and information on the pathophysiological aspects and potentialities of clinical use of sacral anesthesia in modern anesthesiological practice that estimate its perspectives at this stage.

[Use of the epiglottic airway I-gel during anesthetic maintenance: first clinical impressions].

The paper gives a concise account of the evolution of epiglottic airways and the emergence of the new product of this class--I-gel (Intersurgical, United Kingdom). It outlines the structural features of I-gel and the authors' experience in using the latter to maintain airway patency during anesthetic maintenance in 34 patients. Based on a review of the scanty data available in the literature on this airway and their clinical experience, the authors come to the conclusion that there is a great variety of I-gel inherent positive characteristics that make this airway highly promising for the needs of current anesthetic maintenance and, possibly, resuscitative care.

[Efficacy and safety of sevoflurane in various anesthesia modes (according to the results of a multicenter study)].

The paper presents the results of the limited multicenter sevoflurane study initiated by Abbott Lab, which was conducted in 2006. The study was undertaken to examine the efficacy and safety of sevoflurane in various anesthesia modes in patients (ASA I-III) with surgical diseases during surgical interventions into abdominal and thoracic organs and lower extremities. The study covered 96 patients.