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Summing up the data presented in the monograph, the following points should be emphasized. Along with the ever-increasing profiling in medicine, new specialties are being created. And one of the first to isolate obstetric anesthesiology. The first anesthetists in the field of obstetrics and gynecology appeared in the late 50s, and independent departments in obstetric institutions appeared in the mid-60s. There are many reasons for this. First of all, the development and implementation of anesthesia of physiological and complicated births, anesthesia methods for cesarean section and small obstetric operations was required.
Moreover, the main task in this case is “not to harm the fetus and the newborn”, not to cause a violation of the contractile activity of the uterus when using painkillers.
Secondly, the need arose to provide anesthetic care for pregnant women, women in childbirth and puerperas during the treatment of gestosis, bleeding, purulent-septic complications and other pathological conditions in obstetric and gynecological patients.
Experience shows that in obstetrics there are often situations when, despite the high qualifications of obstetrician-gynecologists, it is simply impossible to do without anesthesiologists and resuscitation specialists, especially in critical situations.
The data presented in the work completing a certain stage of research can be considered as the basis for further study in the field of obstetric anesthesiology.
Many questions relating to the problem of DIC, purulent-septic diseases, gestosis, thrombophilic complications and other pathologies that remain to be answered remain unexplained. Without a detailed study of the etiology and pathogenesis of complicated pregnancy, it is difficult to develop preventive and therapeutic measures that can give positive results.
Currently, when the complex therapy of patients with bleeding, purulent-septic diseases and other complications becomes more complicated, it is necessary to conduct treatment together with anesthetists, resuscitators, and transfusiologists. This practice allows you to get the best results in the treatment and prevention of severe diseases.
One of the most important features of obstetric hemorrhage is their unpredictability and suddenness, which requires the provision of emergency and qualified assistance. In this regard, this book proposes new approaches to this problem, methods of "bloodless surgery", a variety of autohemoplasma donations that can prevent complications associated with massive blood transfusion, and the development of multiple organ failure.
Of particular interest are the data on the high efficiency of extracorporeal methods of detoxification, laser and ozone therapy.
These methods provide correction of functional metabolic disorders of homeostasis. Improving the rheological properties of blood leads to a significant improvement and restoration of microcirculation.
Moreover, in each case, the duration, timing of the above methods should be determined by the severity of clinical symptoms, laboratory parameters.
The results of these studies are quite convincing evidence of the high efficiency of extracorporeal methods for bleeding, purulent-septic complications, severe forms of gestosis.
At the same time, we would like to warn obstetrician-gynecologists from the misconception that it can only be cured by surgical intervention. Surgery is only an element of complex therapy, and a number of women need preparation for childbirth, for surgical intervention, as these situations can often aggravate a woman’s serious condition.
In this monograph, the authors do not set the task to consider all issues of anesthesia and intensive care in the field of obstetrics and gynecology, but focused on the most common severe pathological conditions.
Our clinical practice shows that with the development of modern methods of anesthesia and intensive care, it is possible to achieve certain positive results, the joy of motherhood and to exclude possible complications that arise during pregnancy and childbirth.
Knowing the possibilities of endoscopic surgery in gynecology, we can confidently say that the use of modern methods of anesthesia will also reduce the complications caused by the peculiarities of endoscopic correction in gynecological patients.
So, the search for improvement of pain relief in labor, surgical interventions and intensive care is still ahead. The correctly chosen tactics of preventive and therapeutic measures will significantly reduce the risk of complications, reduce their severity, reduce morbidity and mortality caused by various pathologies.
Despite the tendency to increase purulent-septic complications, another pathology, targeted prevention and the use of modern methods of anesthesia and intensive care, if they are carried out in all obstetric institutions and at all stages of the management of pregnant and gynecological patients, will significantly reduce the frequency of complications and save the lives of many women.
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Based on the analysis of the content of the article, the following conclusions can be drawn: The most important hardening is important to begin at an early age, when the body is in the process of formation, and mechanisms of immunobiological protection are developing. For complete hardening, it is necessary to use a set of hardening procedures, taking into account the individual characteristics of the body. Like age,
In conclusion, we can give an example (of many), showing that the Sytin method is really unique and effective. So, at the Institute of Normal Physiology. Acad. P.K. Anokhin RAMS in the presence of Academician K.V. Sudakov as a result of applying this method for ten minutes, an employee (28 years old) had a long-term stable tachycardia with a pulse rate of 120 beats per minute. After
In conclusion of the dissertation, the results of the study are summarized, the results of solving the tasks are summarized, the prospects for further scientific research and the prospects for using the results are indicated, as well as the main conclusions are formulated: 1. Readiness for professional activity is a cumulative psychological neoplasm of the initial stages of professionalization,
In conclusion, it is advisable to briefly summarize the data on the most common resistance mechanisms among the main clinically significant microorganisms. Causative agents of community-acquired infections • Staphylococcus spp. - resistance to natural and semi-synthetic penicillins associated with the production of? -lactamases. • S. pneumoniae - resistance of various levels to penicillin (some strains
In conclusion, the following should be noted. The inner world of the person whom we expect to see as our customer is complex and multifaceted. In everyday work with customers, one cannot limit oneself to intuitive, sometimes superficial knowledge and ideas about consumer behavior, since genuine motives of behavior lie much deeper than it seems on
In conclusion, we will try to summarize the work we have done and put forward some general points that we think stem from the theoretical and experimental research conducted by our research team. However, before proceeding with this, it is necessary to raise the question of the degree of evidence of those provisions that we intend to put forward. The monograph touches on a very wide
In conclusion, the importance of a balanced content of the characterized nutrients in any diet should be emphasized. On average, the physiologically most acceptable ratio of proteins, fats and carbohydrates is 1: 1: 4. For people engaged in physical work, this ratio should be approximately 1: 1: 5, and for mental workers - 1: 0.8: 3. Given the characteristics of carbohydrate
In conclusion, I give an answer to another question that you, of course, ask yourself: Why is there so much guilt on our Earth, if we only suffer from it? Feelings of guilt appeared on the planet at the same time as the separation of the sexes. Previously, we simply were without concepts of good or evil, since these concepts, generated by the mental sphere, did not exist at the very beginning of the history of mankind.
- Instead of a conclusion
If you read this book, then the "Conclusion" you do not need. You already made it yourself. If you are one of those people who like Alexander the Great, looks at the end of the book and decides whether to read it, then for you - a few lines. For the reader to understand this book in his own way, it must be read. It’s not necessary to read in a row, first. You can start reading from any chapter. Even from any small section. Select
- Instead of a conclusion
And instead of a conclusion, I would like to quote Rudolf Zagainov: “Many years of thinking about my profession give reason to consider it not only difficult (by technology, efforts and other components), but also cruel, ruthlessly weeding out psychologists who can’t cope with those tasks for which by the will of fate they had to take, not corresponding to them. Be
- Registration of clinical and pathological epicrisis and conclusions on the cause of death
The opinion of the pathologist about thanatogenesis, the mechanisms of the onset of death, taking into account clinical and morphological data, is presented in the clinical and pathological epicrisis containing the doctor's judgment on the cause of death. The conclusion about the cause of death is more accessible for understanding by relatives and representatives of non-medical departments, who are obliged to get acquainted with the pathological documentation on duty. Yet
Dear Reader! You read the whole book. We hope that the information contained in it helped you develop clinical thinking, i.e. the ability to correctly collect the necessary information and process it into a detailed clinical diagnosis. It is well known that recent advances in science and technology have significantly improved the recognition of internal diseases and deepened understanding of many of their issues.
Diagnosis and treatment of gastritis in animals, in particular dogs, is a particularly urgent task, the solution of which is an important condition for improving the living standard of the animal. In this work, concepts such as chronic, acute and special forms of gastritis were considered. Distinctive features of chronic gastritis from peptic ulcer, stomach cancer and functional disorders are given.
Effective emergency medical care for pregnant women, women in labor, women in childbirth, newborns in the most acute period of obstetric and gynecological situations at the prehospital stage is a necessary condition for their successful treatment in a hospital. Her tasks include the correct recognition of pathological conditions and the skillful implementation of therapeutic and tactical measures. Materials cited in
When evaluating the general plan of a dairy farm for 800 cows of the Ilyinsky state farm, the following shortcomings were noted: there was no landscaping of the territory within the livestock facility with hardwood trees, there was an intersection of clean and dirty paths, and there were no sanitary inspection rooms and desbarriers. Also, when examining a livestock facility, the following were discovered: hard coatings in
Despite the fact that the model of coronary heart disease in an animal experiment is in many respects different from its clinical counterparts, it nevertheless provides important information and allows us to deepen our understanding of the mechanisms of potentially lethal ventricular rhythm disturbances. On the one hand, experimental data allow us to re-evaluate the observed clinical
Since the first identification of this violation, many reviews have appeared on this issue; Among the many published data, two aspects that deserve separate consideration are of particular interest to future researchers. At the clinical level, the main diagnostic problem in patients with chronic recurrent ventricular tachycardia is to determine
An electrophysiological study with programmed ventricular stimulation, originally used to study the mechanisms of ventricular tachycardia, today is an integral part of the clinical examination and treatment of patients with ventricular tachyarrhythmia. The sensitivity and specificity of the various stimulation methods used in EFI are now well understood. Adequate