FROSTBITES IN THE PRACTICE OF AN ANESTHESIOLOGIST AND EMERGENCY PHYSICIAN
https://doi.org/10.21292/2078-5658-2019-16-1-63-68
Abstract
Cold injury is a medico-social problem in regions with a sharply continental climate. The article describes approaches to the diagnosis and conservative treatment of frostbite of the extremities. Particular attention is paid to early prediction of the degree of cold damage and intensive therapy methods.
About the Author
K. G. Shapovalov
Chita State Medical Academy
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Head of Anesthesiology, Reanimatology and Intensive Care Department, Honored Doctor of Russia,
39A, Gorkogo St., Chita, 672000
References
1. Аlekseev А.А., Аlekseev R.Z., Bregadze А.А. et al. Diagnostika i lechenie otmorozheniy (klinicheskie rekomendatsii). [Diagnostics and treatment of frostbites. Clinical guidelines]. Available at: http://combustiolog.ru/wp-content/uploads/2013/07/Diagnostika-i-lechenie-otmorozhenij-2017.pdf.
2. Alekseev R.Z. Prevention of necrosis in frostbite with icing of tissues. Mezhdunarod.Journ. Prikladnykh i Fundam. Issled., 2015, no. 8 (1), pp. 35-41. (In Russ.)
3. Bregadze А.А. Rannyaya diagnostika i kompleksnoe lechenie otmorozheniy nizhnikh konechnostey. Avtoref. diss. kand. med. nauk. [Early diagnostics and comprehensive treatment of lower extremities frostbite. Synopsis of Cand. Diss.]. M. K. Ammosov North-Eastern Federal University, Yakutsk, 2006, 20 p.
4. Vinnik Yu.S., Salmina А.B., Yurieva M.Yu. et al. Local cold injury: pathogenesis, assessment of severity and treatment (literature review). Mosk. Khirurg. Journ., 2011, no. 1, pp. 42-48. (In Russ.)
5. Vinnik Yu.S., Yurieva M.Yu., Teplyakova O.V. et al. The value of endothelial dysfunction in the pathogenesis of local cold injury. Ross. Med. Journal, Meditsinskoe Obozrenie, 2014, vol. 22, no. 31, pp. 2204-2206. (In Russ.)
6. Vikhriev B.S., Kichemasov S.Kh., Skvortsov Yu.R. Mestnye porazheniya kholodom. [Local cold injury]. Leningrad, Meditsina Publ., 1991, 192 p.
7. Gostischev V.K., Lipatov K.V., Borodin А.V. et al. Management tactics of frostbite. Khirurgiya. Journal im. N. I. Pirogova, 2010, no. 6, pp. 10-15. (In Russ.)
8. Konnov V.А., Shapovalov K.G. The content of mediators of the immune response in the plasma of patients with local cold injury and initial malnutrition. Vestn. Anesteziologii I Reanimatologii, 2014, vol. 11, no. 5, pp. 34-39. (In Russ.)
9. Kotelnikov V.P. Otmorozheniya. [Frostbite]. Moscow, Meditsina Publ., 1988, 256 p.
10. Sizonenko V.А. Kholodovaya travma. [Cold injury]. Chita, Ekspress Izd-vo Publ., 2010, 324 p.
11. Skvortsov Yu.R. Otmorozheniya kak vid boevoy patologii, Avtoref. diss. dokt. med. nauk. [Frostbite as a combat trauma. Synopsis of Doct. Diss.]. Leningrad, 1998, 40 p.
12. Sumin S.А., Shapovalov K.G. Ekstrennye i neotlozhnye sostoyaniya. Uchebnoe posobie dlya podgotovki kadrov vysshey kvalifikatsii. [Emergency and critical states. Handbook for higher education]. Moscow, OOO Meditsinskoye Informatsionnoye Agentstvo Publ., 2019, 624 p.
13. Shapovalov K.G., Burdinskiy E.N., Stepanov А.V. Optimization of the components of regulation of vascular tone and microcirculatory hemostasis during extended regional blockade in case of local cold injury. Anesteziologiya i Reanimatologiya, 2008, no. 3, pp. 20-22. (In Russ.)
14. Shapovalov K.G., Sizonenko V.А., Burdinskiy E.N. Changes in microcirculation parameters in case of local cold injury of the upper extremities. Аngiologiya i Sosudistaya Khirurgiya, 2009, vol. 5, no. 1, pp. 29-32. (In Russ.)
15. Shapovalov K.G., Sizonenko V.А., Burdinskiy E.N. Changes in vascular tone components and microcirculation indices in frostbite of the lower extremities. Vestnik Khirurgii im. I. I. Grekova, 2008, no. 3, pp. 67-68. (In Russ.)
16. Shapovalov K.G., Sizonenko V.А., Kovalev V.V. et al. Intensive care of local cold injury in children. Detskaya Khirurgiya, 2009, no. 1, pp. 36-38. (In Russ.)
17. Shapovalov K.G., Tomina E.А., Mikhaylichenko M.I. et al. Damage of endothelial cells and changes in cytokines in patients at different periods of local cold injury. Travmatologiya i Ortopediya Rossii, 2008, no. 1, pp. 35-37. (In Russ.)
18. Cauchy E., Cheguillaume B., Chetaille E. A controlled trial of a prostacyclin and rt-PA in the treatment of severe frostbite. N. Engl. J. Med., 2011, vol. 364, no. 2, pp. 189-190.
19. Goertz O., Baerreiter S., Ring A. et al. Determination of microcirculatory changes and angiogenesis in a model of frostbite injury in vivo. J. Surg. Res., 2011, vol. 168, no. 1, pp. 155-161.
20. Hutchison R.L. Frostbite of the hand. J. Hand Surg. Am., 2014, vol. 39, no. 9, pp. 1863-1868.
21. McIntosh S.E., Opacic M., Freer L. et al. Wilderness medical society practice guidelines for the prevention and treatment of frostbite: 2014 update. Wilderness Environ Med., 2014, vol. 25, no. 4, pp. S43–S54.
22. Murphy J.V., Banwell P.E., Roberts A.H. et al. Frostbite: pathogenesis and treatment. J. Trauma, 2000, vol. 48, pp. 171-178.
23. Watts D.D., Trask A., Soeken K. Hypothermic coagulopathy in trauma: effect of varying levels of hypothermia on enzyme speed, platelet function, and fibrinolytic activity. J. Trauma. 1998, vol. 44, no. 5, pp. 846-854.
24. Yanagisawa H. Hypothermia, chilblain and frostbite. Nihon Rinsho, 2013, vol. 6, no. 71, pp. 1074-1078.
25. Zook N., Hussmann J., Brown R. et al. Microcirculatory studies of frostbite injury. Surg. Endosc., 2000, vol. 14, pp. 799-804.
Review
For citations:
Shapovalov K.G. FROSTBITES IN THE PRACTICE OF AN ANESTHESIOLOGIST AND EMERGENCY PHYSICIAN. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2019;16(1):63-68. (In Russ.) https://doi.org/10.21292/2078-5658-2019-16-1-63-68
Email this article 