INFLUENCE OF RESPIRATORY SYSTEM PROTECTION ON THE TREATMENT OF PATIENTS WITH CRANIOCEREBRAL TRAUMA DOI Open Access

Y. PIDHIRNYI,

R MERZA

Pain anesthesia and intensive care, Journal Year: 2022, Volume and Issue: 1(98), P. 27 - 31

Published: April 1, 2022

Introduction. Craniocerebral trauma (CCT) results in disorders of pharyngeal reflex, deglutition, breathing rhythm and frequency. All the mentioned conditions cause development respiratory complications. Whereas they become independent factors negative therapeutic consequences such category patients. Aim a paper. The research aims at evaluating protection/treatment possibilities system concerning course craniocerebral injured Materials methods. We examined 237 patients with CCT who underwent urgent surgical interventions form decompressive cranial trepanation removal both subdural epidural hematomata. required prolonged mechanical ventilation lungs. were retrospectively divided into two groups, namely: first group (132 patients) – tracheostomy on 5th-6th days admission to clinics anesthesiology intensive care; second (105 1st-2nd hospitalization. Patients groups not differentiated by gender, severity general condition. In addition clinical biochemical blood markers, culturing secretion tube (at moment further every 3-4 days), urine performed all patients. Simultaneously we controlled leucocyte count peripheral blood, number immature forms, levels CRP procalcitonin. evaluation neurological status was carried out Glasgow Richmond Agitation-Sedation Scale (RASS). visualized help CT. Research results. Even frequency colonization tracheobronchial tree significantly higher compared one. Such tendency monitored stages as well. phenomena tracheobronchitis pneumonia detected more frequently postoperative period contrast period. Microorganisms Enterobacteriaceae extended spectrum ß-lactamase non-fermenting Gram-negative bacteria group. Conclusion. Early decrease positive secretions from reduction detection nosocomial pneumonia.

Language: Английский

Hemodynamics and reperfusion in acute ischemic stroke: friends or foes? DOI
А. Р. Авидзба, В. А. Саскин, М. Yu. Кirov

et al.

Russian Journal of Anesthesiology and Reanimatology, Journal Year: 2024, Volume and Issue: 2, P. 91 - 91

Published: Jan. 1, 2024

Language: Английский

Citations

2
Linking Cerebral Oximetry to Outcomes of Reperfusion Therapy in Ischemic Stroke: A Post-Hoc Analysis of a Randomized Controlled Trial DOI Creative Commons
А. Р. Авидзба, В. А. Саскин, Andrey Nikonov

et al.

General Reanimatology, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 26, 2024

Aim: To evaluate the predictive value of cerebral oximetry for functional recovery in patients undergoing reperfusion therapy ischemic stroke. Materials and Methods: A post hoc analysis was performed using data from a single-center, open-label, randomized controlled trial. The study included 45 with stroke who received systemic thrombolysis. Primary outcomes as assessed by modified Rankin Scale mortality. Serial within first 24 hours after interhemispheric difference (IHD) used to determine cutoff point predicting ROC curve analysis. Associations between IHD were analyzed univariate multivariate logistic regression models. Results: oxygenation unaffected affected hemispheres 4% (3-5%) before thrombolysis dropped 3% (1-4%) (P = 0.024). An less than identified an independent predictor favorable outcome adjusted odds ratio 12 (95% CI: 1.6-93.7; P 0.017). However, not mortality 0.301). Conclusion: Systemic is associated improved oxygenation. serves but does correlate reduced

Language: Английский

Citations

0
Intracranial hypertension in hemorrhagic stroke: a single-center retrospective study DOI
А. Р. Авидзба, Andrey Nikonov, A. V. Lychakov

et al.

Russian Journal of Anesthesiology and Reanimatology, Journal Year: 2024, Volume and Issue: 6, P. 23 - 23

Published: Jan. 1, 2024

Language: Английский

Citations

0
Evaluation of aspiration risk by relatives of inpatients in the neurology service: A metaphor analysis DOI Creative Commons
Canan Kaş Güner, Filiz Özel, İdris Kocatürk

et al.

Health Expectations, Journal Year: 2023, Volume and Issue: 27(1)

Published: Oct. 2, 2023

Abstract Background The risk of aspiration is high in stroke patients due to dysphagia/loss swallowing. This problem can cause problems affecting the nutrition patients. Due possible during feeding, patient relatives are hesitant feed their Because this fear, malnutrition and hospital readmissions may increase. It important evaluate fear hospitalized neurology service. aim study determine views treated service about through metaphors. Method article analyzed metaphors patients' relatives' aspiration. analysis uses metaphor identification analysis. research sample consisted 31 First all, study, evaluation data was conducted by performing content analysis, as a result which it divided into conceptual categories, relevant field associated with text (event, thought, feelings, related speech or writing). In reporting research, Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist used. Results seen that produced different response statement ‘Aspiration like …, because …’ mostly compared concept ‘fear aspiration’ ‘fear’ ( n : 24). Conclusions described According result, have great increasing readmission malnutrition. shows informing will increase awareness allow them provide informed care. Patient Public Contribution Collaborated regarding contributed planning care

Language: Английский

Citations

1
Нутритивна терапія у хворих на ШВЛ із приводу гострого пошкодження головного мозку DOI Creative Commons
Ya.M. Pidhirnyі, R.O. Merza

EMERGENCY MEDICINE, Journal Year: 2022, Volume and Issue: 18(4), P. 6 - 9

Published: June 29, 2022

Актуальність. Гостре пошкодження мозку (ГПМ) визначається як гострий церебральний розлад, наслідок травми або цереброваскулярної події (зокрема, субарахноїдального крововиливу, внутрішньочерепного крововиливу гострого ішемічного інсульту). Терапевтичні можливості при ГПМ є обмеженими. Результат хвороби значною мірою ускладненнями, які виникають у процесі перебігу ГПМ. Серед ускладнень особливе місце займає гіпоксія та інфекція. Тому респіраторна (РТ) нутритивна терапія (НТ) важливими технологіями, що мають використовуватися в комплексі інтенсивної терапії хворих із Матеріали методи. Нами обстежені 63 хворі з Хворі були розділені на 2 групи: 1-ша група — 23 (ретроспективна), 2-га 40 (проспективна). обох груп не відрізнялися між собою за віком, статтю, тяжкістю антропометричними даними. Нутритивну дисфункцію діагностували основі визначення альбуміну, трансферину, заліза сироватки крові, абсолютної кількості лімфоцитів. У НТ проводилася згідно рекомендаціями ESPEN ASPEN, їх забезпечували енергією (25–30 ккал/кг маси тіла), вуглеводами (4–5 г/кг швидкості введення 0,5 г/кг/год), азотом (1,5–2 г/кг), жирами (до г/кг). другої групи проводили підвищеним умістом білка. Висновки. білка сприяла зменшенню терміну ШВЛ перебування реанімаційному відділенні. Останнє було наслідком зменшення частоти виникнення інфекційно-асоційованого трахеобронхіту пневмонії.

Citations

0
INFLUENCE OF RESPIRATORY SYSTEM PROTECTION ON THE TREATMENT OF PATIENTS WITH CRANIOCEREBRAL TRAUMA DOI Open Access

Y. PIDHIRNYI,

R MERZA

Pain anesthesia and intensive care, Journal Year: 2022, Volume and Issue: 1(98), P. 27 - 31

Published: April 1, 2022

Introduction. Craniocerebral trauma (CCT) results in disorders of pharyngeal reflex, deglutition, breathing rhythm and frequency. All the mentioned conditions cause development respiratory complications. Whereas they become independent factors negative therapeutic consequences such category patients. Aim a paper. The research aims at evaluating protection/treatment possibilities system concerning course craniocerebral injured Materials methods. We examined 237 patients with CCT who underwent urgent surgical interventions form decompressive cranial trepanation removal both subdural epidural hematomata. required prolonged mechanical ventilation lungs. were retrospectively divided into two groups, namely: first group (132 patients) – tracheostomy on 5th-6th days admission to clinics anesthesiology intensive care; second (105 1st-2nd hospitalization. Patients groups not differentiated by gender, severity general condition. In addition clinical biochemical blood markers, culturing secretion tube (at moment further every 3-4 days), urine performed all patients. Simultaneously we controlled leucocyte count peripheral blood, number immature forms, levels CRP procalcitonin. evaluation neurological status was carried out Glasgow Richmond Agitation-Sedation Scale (RASS). visualized help CT. Research results. Even frequency colonization tracheobronchial tree significantly higher compared one. Such tendency monitored stages as well. phenomena tracheobronchitis pneumonia detected more frequently postoperative period contrast period. Microorganisms Enterobacteriaceae extended spectrum ß-lactamase non-fermenting Gram-negative bacteria group. Conclusion. Early decrease positive secretions from reduction detection nosocomial pneumonia.

Language: Английский

Citations

0