Tracheostomy in the process of prolonged artificial pulmonary ventilation in patients with polytrauma
- 作者: Samokhvalov I.M1, Gavrilin S.V1, Badalov V.I.1, Nedomolkin S.V1, Meshakov D.P1, Khrapov K.N1, Vasilyev M.A1
-
隶属关系:
- 期: 卷 332, 编号 5 (2011)
- 页面: 20-24
- 栏目: Articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/75221
- DOI: https://doi.org/10.17816/RMMJ75221
- ID: 75221
如何引用文章
详细
One of modern tendencies of carrying out long ALV of patients with polytrauma is application of «early» tracheostomy. Thus optimum terms of «early» tracheostomy are defined indistinctly and vary from 2 to 10 days from beginning of ALV. It is established that at predicted long ALV of patients with polytrauma optimum terms of tracheostomy performance is the second period of traumatic illness (12-48 hours from the moment of getting trauma). Tracheostomyy, executed for patients with polytrauma for the purpose of maintenance long ALV in early terms, promotes improvement of gases diffusion, microcirculation in lungs, improvement of system of external breath as a whole and it is accompanied by decrease in frequency of development life danger infectious «pulmonary» complications and lethality reduction.
全文:
![受限制的访问](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
参考
- Мешаков Д.П. Показания и противопоказания к продленной и длительной искусственной вентиляции легких у раненых и пострадавших: Автореф. дис.. кан,д. мед. наук. - СПб, 2005. - 23 с.
- Самохвалов И.М., Щеголев А.В., Гаврилин С.В. Ранняя диагностика вариантов течения травматической болезни у пострадавших с тяжелой сочетанной травмой головы и груди // Матер. XII съезда Федерации анестезиологов и реаниматологов. - М., 2010. - С. 390.
- Brook A., Sherman G., Malen J., Kollef M. Early versus tracheostomy in patients who require prolonged mechanical ventilation // Am. J. Crit. Care. - 2000. - Vol. 9, N 2. - P. 352-359.
- Dunham C., Ransom K. Assessment of early tracheostomy in trauma patients: a systematic review and meta-analysis // Am. Surg. - 2006. - Vol. 72, N 2. - P. 276-281.
- Rumbak М., Newton М., Truncale T. A prospective, randomized, study comparing early percutaneous dilation tracheostomy to prolonged translaryngeal intubation in critically ill medical patient // Crit. Care Med. - 2004. - Vol. 32, N 1. - P. 1689-1694.
补充文件
![](/img/style/loading.gif)