scholarly journals The role of diagnosis of respiratory dysfunction in patients with thoracic trauma with polytrauma

2020 ◽  
Vol 24 (4) ◽  
pp. 665-669
Author(s):  
O. V. Boiko ◽  
Yu.V. Volkova
Keyword(s):  
Thoracic Trauma ◽  
Intensive Therapy ◽  
Rehabilitation Program ◽  
External Respiration ◽  
Treatment Results ◽  
Respiratory Dysfunction ◽  
Salt Hydrate ◽  
Prognostic Criterion ◽  
Respiration Function

Annotation. Combined thoracic trauma is one of the most unfavorable in determining the prognosis in patients with polytrauma. The aim of the study was to evaluate the informativeness of the spirography method in patients with concomitant thoracic trauma as a prognostic criterion for the severity of the course of traumatic disease and the effect of the proposed modifications of the intensive care algorithm on treatment results. A study of the state of indicators of the function of external respiration was carried out using the method of spirography in 92 patients with concomitant thoracic trauma. The patients were divided into 3 groups depending on the foreseen leading pathogenetic mechanism of respiratory failure in all periods of traumatic illness. The effect of additional administration of ceruloplasmin solution, solution of D-fructose-1,6-diphosphate sodium salt hydrate solution was compared with the classical algorithm of intensive therapy. The effect of the proposed treatment was assessed 30 days after receiving polytrauma and the parameters of the external respiration function were compared with the data obtained in conditionally healthy volunteers. It was determined that the addition of a solution of ceruloplasmin to the algorithm of intensive therapy, the leading mechanism of action of which is the effect on oxidative stress, is the most pathogenetically determined in patients with concomitant thoracic trauma in polytrauma, which is confirmed by the most restored indicators of the function of external respiration in them, determined using spirography on the 30th day of observation. The data obtained are important in determining the prognosis of the course of traumatic illness and planning a rehabilitation program in patients with concomitant thoracic trauma.

scholarly journals The role of integrated assessment of the indicators of external respiration function in cardiac surgical patients

2017 ◽  
Vol 89 (9) ◽  
pp. 109-114
Author(s):  
O V Kamenskaja ◽  
A S Klinkova ◽  
I Ju Loginova ◽  
V V Lomivorotov ◽  
D N Ponomarev ◽  
...  
Keyword(s):  
Integrated Assessment ◽  
Pulmonary Ventilation ◽  
Surgical Patients ◽  
External Respiration ◽  
Diffusing Capacity ◽  
Body Plethysmography ◽  
Operational Risks ◽  
Respiration Function

This literature review dedicated to the importance of an integrated assessment of external respiratory function in cardiovascular diseases (CVDs), including an analysis of up-to-date techniques, such as spirometry, body plethysmography, examination of the diffusing capacity of the lung, determination of O2 consumption with evaluation of the effectiveness of pulmonary ventilation. It considers the pathogenetic components of impairments in pulmonary ventilation and gas exchange, which develop in different CVDs, as well as during and after cardiac surgery. The authors analyze the results of international investigations and their own experience, which emphasize the prognostic value of lung function tests and suggest that there is a need for a comprehensive functional assessment of the respiratory system in cardiac surgical patients for their effective preoperative preparation, assessment and reduction of operational risks, and improvement of the prognosis of surgical treatment.

scholarly journals Prevalence of external respiratory dysfunction in young people

2017 ◽  
Vol 89 (3) ◽  
pp. 38-42
Author(s):  
N A Kovalkova ◽  
N Yu Travnikova ◽  
Yu I Ragino ◽  
M I Voevoda
Keyword(s):  
Vital Capacity ◽  
Population Based ◽  
Forced Expiratory Volume ◽  
American Thoracic Society ◽  
External Respiration ◽  
European Respiratory Society ◽  
Cross Sectional ◽  
Respiratory Dysfunction ◽  
Respiration Function ◽  
Population Based Survey

Aim. To investigate the prevalence of impaired external respiration function (ERF) in young Novosibirsk dwellers. Subjects and methods. A cross-sectional population-based survey in one of the typical districts of Novosibirsk was conducted at the Research Institute of Internal and Preventive Medicine in 2013—2015. ERF was examined by spirometry in accordance with the guidelines. The best indicators of forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio were selected and three reproducible attempts were made to evaluate ERF. Spirometry was carried out in 787 respondents (358 males and 429 females) for the entire period. The results were interpreted according to the guidelines of the European Respiratory Society, the American Thoracic Society, and the Russian Respiratory Society. Results. The prevalence of a FEV1/FVC of

Recently diagnosed gay men talk about HIV treatment decisions

Sexual Health ◽  
2014 ◽  
Vol 11 (2) ◽  
pp. 200 ◽  
Author(s):  
Ian Down ◽  
Garrett Prestage ◽  
Kathy Triffitt ◽  
Graham Brown ◽  
Jack Bradley ◽  
...  
Keyword(s):  
Gay Men ◽  
Qualitative Data ◽  
Hiv Treatment ◽  
Early Initiation ◽  
Sense Of Control ◽  
Bisexual Men ◽  
Treatment Results ◽  
Semistructured Interviews ◽  
Hiv Seroconversion

Background In recent years, there has been increasing evidence that early initiation of antiretroviral therapy (ART) may provide health benefits for those infected with HIV. There has also been significant discussion about the role of HIV treatment in preventing onward transmission of the virus. Early provision and uptake of ART to people recently diagnosed with HIV could achieve both individual and public health outcomes. The success of such an initiative relies, in part, on the preparedness of those recently diagnosed with HIV to engage with the therapy. Methods: The HIV Seroconversion Study collects both quantitative and qualitative data from people in Australia who have recently been diagnosed with HIV. During 2011–2012, 53 gay or bisexual men recruited across Australia took part in semistructured interviews as part of the study. The men were asked about their knowledge and experience of, and their decisions about whether or not to commence, HIV treatment. Results: The interviews identified differing levels of knowledge about HIV treatments and divergent views about the health and prevention benefits of ART. For some, treatments provided a sense of control over the virus; others were apprehensive and distrustful, and preferred to resist commencing treatments for as long as possible. Conclusions: If early initiation of treatment is to be encouraged, appropriate measures must be in place to ensure recently diagnosed individuals have access to the appropriate information and the support they need to enable them to make informed choices and, if necessary, to address their fears.

scholarly journals EVALUATION OF NURSING NOTES BEFORE AND AFTER A TRAINING ACTIVITY IN A UNIVERSITY HOSPITAL

2018 ◽  
Vol 4 ◽  
Author(s):  
Arthur Velloso Antunes ◽  
Aline Morlin Lourenço ◽  
Carlos Eduardo França ◽  
Clesnan Mendes-Rodrigues
Keyword(s):  
Intensive Care ◽  
Health Services ◽  
Short Duration ◽  
Intensive Therapy ◽  
University Hospital ◽  
Training Activity ◽  
Professional Category ◽  
Before And After ◽  
Inpatient Units

Objective: To verify if the nursing notes improved before and after a training of short duration and the factors those determine this change. Method: We analyzed 1551 reports/nursing notes in two inpatient units and two intensive care units. There was used a form in which there were recorded the adequacies or otherwise of the annotations in function of: the course, shift, professional category, and days of hospitalization of the patient. Results: We observed that there was improvement in the records made after the training course, with an increase of the adequacies. The intensive therapy units showed higher scores for appropriateness to the wards. The time of hospitalization of the patient eventually influences the scores of adequacies. The score of appropriateness of annotations was not different between the professional categories. Conclusion: The action of training of short duration was effective in improving the nursing notes, strengthening the role of continuous education in health services.

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