EVOLUTION OF APPROACHES AND CURRENT OPPORTUNITIES OF ARTIFICIAL PULMONARY VENTILATION IN THE TREATMENT OF THOSE WITH SEVERE CHEST TRAUMA
https://doi.org/10.21292/2078-5658-2015-12-6-79-85
Abstract
The literature review covers the historical background and current concepts of the artificial pulmonary ventilation possibilities in treatment of the severe chest injury. Various regimens of artificial ventilation are described, and their application in terms of thoracic trauma pathogenesis is justified. Different views are given on the choice of the respiratory support method subject to the type of trauma, and the important role of internal pneumatic stabilization is shown. At the same time it is noted that the prospects for improvement of the treatment outcomes with the severe chest injury patients is not so much develop any single method of ventilation or any surgery technique as towards the combined use of various methods of the chest stabilization and treatment of the pulmonary tissue injury. It is stated that the objectification of success rate of the artificial pulmonary ventilation and the analysis of recovery of spontaneous respiratory predictors will contribute to optimization of the treatment policy for the patients with chest injury.
About the Authors
A. S. Benyan
V. D. Seredavin Samara Regional Clinical Hospital, Samara
Russian Federation
Russian Federation
G. Yu. Chernogaeva
Samara Municipal Hospital no.4, Samara
Russian Federation
Russian Federation
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Review
For citations:
Benyan A.S., Chernogaeva G.Yu. EVOLUTION OF APPROACHES AND CURRENT OPPORTUNITIES OF ARTIFICIAL PULMONARY VENTILATION IN THE TREATMENT OF THOSE WITH SEVERE CHEST TRAUMA. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2015;12(6):79-85. (In Russ.) https://doi.org/10.21292/2078-5658-2015-12-6-79-85
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