The use of extracorporeal isolated perfusion of the injured limb in the experiment: the experience of the tactical-special exercises «Ochag-2022»

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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.

作者简介

V. Reva

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

编辑信件的主要联系方式.
Email: vreva@mail.ru

доктор медицинских наук, подполковник медицинской службы

俄罗斯联邦, St. Petersburg

V. Potemkin

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vreva@mail.ru

лейтенант медицинской службы

俄罗斯联邦, St. Petersburg

R. Ibragimov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vreva@mail.ru

лейтенант медицинской службы

俄罗斯联邦, St. Petersburg

E. 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

俄罗斯联邦, St. Petersburg

S. Tatarintsev

Multidisciplinary Research and Education Center «Duokor»

Email: vreva@mail.ru
俄罗斯联邦, St. Petersburg

A. 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

俄罗斯联邦, St. Petersburg

参考

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版权所有 © Reva V.A., Potemkin V.D., Ibragimov R.I., Ershov E.N., Tatarintsev S.A., Denisov A.V., 2023


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