Naumenko V. Antistress meaning of the different versions of premedication in the time of anesthesiological support of a short-term gynecological operations for an ambulant practice.

. We studied 237 one-day gynecology surgery patients. Our purpose was to increase the effectiveness and quality of ambulatory care by individualization of premedication in one-day gynecology surgery, that had been performed under ketamin anaestesia . We used clinical, biochemical, instrumental, psychometry and statistical methods. We have founded, that gynecology patients before operations have low, middle and high stress level, that was indicated by stress index. The combination of ketanov and sibason is effective in patients with low and middle stress level. The using of stadol is effective in patients with all stress levels, but patients stay in clinic longer. The best combination for one-day surgery is dormikum and ketanov. The results of this research were used in anaesthesiology clinics in Kharkov.