The impact of different types of anaesthesia on the course of tonsillectomy surgery

Recurrent tonsillitis is considered to  be one of the most common ENT diseases. Tonsillectomy as a method of recurrent tonsillitis' treatment is being performed as usual as 20% of all surgeries in ENT departments. The critical criteria for the success of tonsillectomy for the surgeon are the frequency of perioperative complications, long-term results of treatment, and the patient's recovery time. For the patient, those criteria are the severity of pain, psychoemotional stress, the time spent in the hospital, and how quickly he can return to his daily life routine. The factors that significantly affect the outcome of tonsillectomy are the choice of anaesthetic management. Our study aimed to optimise the approach to choosing between endotracheal anaesthesia and local anaesthesia. Clinical studies were made among 158 patients with recurrent tonsillitis who underwent a bilateral tonsillectomy. The patients were divided into two groups. The first group consisted of 97 patients undergoing tonsillectomy using local anaesthesia. The control group included 61 patients undergoing tonsillectomy using endotracheal anaesthesia. We considered the factors such as duration of surgery, the amount of blood loss, intraoperative events, number of incidents of primary and secondary bleeding, assessment of pain syndrome, necessity of analgesics administration, length of hospital stay, and recovery period. Conclusions: tonsillectomy surgery using local anaesthesia requires less time to perform, has less blood loss, fewer intraoperative events, and fewer incidents of primary and secondary bleeding. The average level of pain is higher in patients using endotracheal anaesthesia

Multicomponent diffusion and energy characteristics of partially ionized plasma in the ionosphere of a planet

The problem of energy and multicomponent ambipolar diffusion of plasma in the lower ionosphere of a planet with a weak magnetic field is considered

Quantum interference effects in a system of two tunnel point-contacts in the presence of single scatterer: simulation of a double-tip STM experiment

The conductance of systems containing two tunnel point-contacts and a single subsurface scatterer is investigated theoretically. The problem is solved in the approximation of s-wave scattering giving analytical expressions for the wave functions and for the conductance of the system. Conductance oscillations resulting from the interference of electron waves passing through different contacts and their interference with the waves scattered by the defect are analyzed. The prospect for determining the depth of the impurity below the metal surface by using the dependence of the conductance as a function of the distance between the contacts is discussed. It is shown that the application of an external magnetic field results in Aharonov-Bohm type oscillations in the conductance, the period of which allows detection of the depth of the defect in a double tip STM experiment.Comment: 11 pages, 4 figures, to be published in Fiz. Nizk. Temp. (Low Temp. Phys.), V.37, No.1 (2011) corrected figure

Study interaction of plants and fungi in drained bed of Aral sea in Kazakhstan

The purpose of this research was the study interaction of plans and fungi in the zone of weak salinization in the DBAS