The use of extracorporeal isolated perfusion of the injured limb in the experiment: the experience of the tactical-special exercises «Ochag-2022»
- Authors: Reva V.A.1, Potemkin V.D.1, Ibragimov R.I.1, Ershov E.N.1, Tatarintsev S.A.2, Denisov A.V.1
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Affiliations:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- Multidisciplinary Research and Education Center «Duokor»
- Issue: Vol 344, No 2 (2023)
- Pages: 43-49
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/630130
- DOI: https://doi.org/10.52424/00269050_2023_344_2_43
- ID: 630130
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Abstract
Staged treatment of combat injuries of the major vessels of the extremities always carries the risk of developing severe ischemia with a high probability of amputation of the limb or death of the wounded. One of the proven ways to restore limb perfusion is temporary vascular replacement, which requires a complex surgical intervention, the success of which depends on many factors. To maintain perfusion, we proposed to use an extracorporeal circulation circuit connected outside the area of damage to the main artery and allowing blood to be pumped into the ischemic limb within the framework of the concept of temporary extracorporeal perfusion of the limb until the final restoration of blood flow. The paper describes the first experience of using this technology, tested during the Ochag-2022 military medical tactical and special exercises, and shows that it is a option for maintaining perfusion of the injured limb at the stages of medical evacuation.
About the authors
V. A. Reva
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Author for correspondence.
Email: vreva@mail.ru
доктор медицинских наук, подполковник медицинской службы
Russian Federation, St. PetersburgV. D. Potemkin
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: vreva@mail.ru
лейтенант медицинской службы
Russian Federation, St. PetersburgR. I. Ibragimov
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: vreva@mail.ru
лейтенант медицинской службы
Russian Federation, St. PetersburgE. N. Ershov
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: vreva@mail.ru
кандидат медицинских наук, подполковник медицинской службы
Russian Federation, St. PetersburgS. A. Tatarintsev
Multidisciplinary Research and Education Center «Duokor»
Email: vreva@mail.ru
Russian Federation, St. Petersburg
A. V. Denisov
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: vreva@mail.ru
кандидат медицинских наук, подполковник медицинской службы
Russian Federation, St. PetersburgReferences
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Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).