scholarly journals Peculiarities of Respiratory Support in Patients with Severe Pathology during Air Ambulance Evacuation

2021 ◽  
pp. 67-72
Author(s):  
S.A. Gumenyuk ◽  
◽  
V.I. Potapov ◽  
A.Yu. Sysoev ◽  
◽  
...  

The aim of the study is to identify and to analyze the features of respiratory support in patients with severe acute respiratory failure when performing air ambulance evacuation by light class helicopters by specialists of aeromedical teams. Materials and methods. We used materials containing data on the frequency and peculiarities of ventilator usage and tracheal intubation during emergency medical care for patients with acute respiratory failure over the last 5 years (2016-2020). During this period emergency medical care was provided to 53579 patients, 298 of whom were in extremely severe and serious condition requiring ventilator usage and tracheal intubation. The following methods were used in the study: historical, statistical, analytical. Results of the study and their analysis. Trauma prevailed among nosological forms in patients with acute respiratory failure. Artificial lung ventilation with tracheal intubation should be started before the patient is transported to the helicopter cabin. During air ambulance evacuation of patients with acute respiratory failure by helicopter of light class, doctors should take differentiated approach to the choice of type and mode of respiratory support and of method of airway patency assurance.

2018 ◽  
Vol 19 (1) ◽  
pp. 48-54 ◽  
Author(s):  
A. L. Ershov ◽  
A. G. Miroshnichenko ◽  
A. A. Bojkov ◽  
A. Yu. Schurov

This research is devoted to a retrospective analysis of the number of missions of the emergency medical service to adult patients that suffer from acute respiratory failure (ARF) of various severity in St. Petersburg during 2017. Gender and age characteristics of the groups of patients with ARF are presented. Nosologic forms of diseases that tend to be the most common reason of ARF are also identified. The analysis of immediate results of missions to the patients is presented.


2020 ◽  
Vol 16 (2) ◽  
pp. 4-11
Author(s):  
D. I. Levikov ◽  
Yu. V. Marchenkov ◽  
N. A. Strizhkov ◽  
M. Ya. Zasimova ◽  
V. L. Shaibakova ◽  
...  

Aim: To compare the safety and efficacy of dexmedetomidine and haloperidol in patients with delirium and acute respiratory failure in non-invasive mask lung ventilation.Materials and methods. We carried out a retrospective analysis of data on patients with somatogenic delirium and acute respiratory failure (57 men, 4 women) experienced noninvasive ventilation (NIV) in the intensive care unit of the Botkin State Clinical Hospital in 2017–2018. Depending on the type of sedation the patients were divided into two groups: those on dexmedetomidine (n=31) and those receiving haloperidol (n=30). Dexmedetomidine was administered as a continuous infusion at a rate of 0.2–1.4 µg/kg/h while controlling the level of consciousness; haloperidol was administered by intravenous bolus injections until a sufficient level of sedation was reached in a dose of 2.5 mg 2–3 times a day.Results. The efficiency of sedation to achieve the required level of cooperation and possibility of NIV was 87.1% (27 patients) and 66.6% (20 patients) in dexmedetomidine and haloperidol groups. When estimating sedation in patients of both groups according to the RASS scale the scores did not differ significantly and were equal on the average to 1.7±0.3 (eye contact to voice). In haloperidol group in 10 out of 30 (33.3%) patients a sufficient level of sedation was not achieved, which required immediate tracheal intubation and invasive lung ventilation. Mortality in this group was 20% (6 patients), while in dexmedetomidine group it was 6.4% (2 patients).Conclusion. The use of dexmedetomidine, despite greater variability of hemodynamic parameters, allows to perform NIV with sufficient cooperation with the patient, reduces the frequency of tracheal intubation, risk of complications and mortality.


2020 ◽  
Vol 21 (1) ◽  
pp. 27-34
Author(s):  
V. V. Davydov ◽  
V. O. Loskutova ◽  
A. A. Yurlov ◽  
O. V. Davydovа

2020 ◽  
pp. 71-75
Author(s):  
Marina Dmitryeva

The article describes the measures taken by medical professionals of emergency medical care to observe infectious safety of patients in the provision of pre-medical care in case of burns.


1994 ◽  
Vol 161 (11) ◽  
pp. 693-694 ◽  
Author(s):  
Mark W Salib ◽  
Joseph R Brimacombe

BMJ ◽  
1976 ◽  
Vol 2 (6042) ◽  
pp. 1012-1013
Author(s):  
T. I Jones

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