The prevention of development of sharp pulmonary damage in patients with the severe combined injury

Abstract

The retrospective analysis of clinical records of 25 patients with the severe combined injury for the purpose of an assessment of influence of changes of volemichesky support on development of sharp injury of lungs is made. Monitoring of haemo dynamics and the volemichesky status carried out by means of technology of the modified PiCCO plus termodilyution (Pulsion Medical Systems, Germany). During the analysis it was revealed that application of haemo dynamic monitoring with use of a transpulmonalny termodilyution and the PiCCO technology, allows to improve authentically oxygenation index indicators, to reduce duration of respiratory support and a ball assessment of weight of a condition of patients, on an integrated scale of SOFA. From this it is possible to draw a conclusion that application of volemichesky monitoring of PiCCO allows to prevent development of the sharp injury of lungs (SIL) in patients with the severe combined injury.

Keywords

• тяжелая сочетанная травма
• транспульмональная термодилюция
• волемическая поддержка
• индекс оксигенации