Comparative Analysis of Higher Mental Functions in Patients After Anesthesia with Diprivane and Ketamine

The paper comparatively analyzes higher mental functions in patients after anesthesia using ketamine and diprivane at surgery for myoma of the corpus uteri. The authors have identified 6 groups of patients with different typological properties of the nervous system. Changes in higher mental functions were comparatively analyzed in the groups of patients with the similar typological properties of the nervous system after different types of general anesthesia. The following conclusions have been made: 1) The use of general intravenous anesthesia using ketamine causes changes in higher mental functions, increased asthenia and mental stress in the patients who have a shift of the balance of nervous processes to their excitability and lability irrespective of the force of the nervous system. This anesthetic procedure is contraindicated in these patients. 2) The use of general intravenous anesthesia using ketamine does not cause higher mental dysfunctions, increased asthenia or mental stress in patients who have an equilibrium of nervous processes or a shift of the balance of nervous processes to their inhibition and inertness irrespective of the force of the nervous system. This procedure is reasonable in these patients. 3) The use of general intravenous anesthesia using diprivane does not cause impaired higher mental functions, increased asthenia or mental stress and it is reasonable in all patients in the postoperative period.