THE STATISTICAL IMPORTANCE OF INFLUENCE OF VARIOUS OPTIONS OF INFUSIONAL THERAPY ON PARAMETERS OF A HOMEOSTASIS OF PATIENTS WITH HEAVY TRAUMATIC SHOCK
https://doi.org/10.24884/2072-6716-2019-20-4-51-57
Abstract
In work it is presented that application of infusional therapy for patients with heavy traumatic shock at a prehospital stage is not only pathogenetic expedient, but also authentically reasonable component of antishock treatment. It is revealed that the most effective option of volemichesky compensation at patients with heavy traumatic shock at pre-hospital and hospital stages of treatment is application sterofundin isotonic and 4% the modified gelatin.
About the Authors
S. S. Stepanov
Omsk State Medical University
Russian Federation
Russian Federation
Sergej S. Stepanov
OmskA. O. Girsh
Omsk State Medical University
Russian Federation
Russian Federation
Andrej O. Girsh
OmskM. M. Stukanov
City Emergency Medical Service
Russian Federation
Russian Federation
Maksim M. Stukanov
OmskG. V. Leonov
City Emergency Medical Service
Russian Federation
Russian Federation
Grigоrij V. Leonov
OmskA. I. Malyuk
City Clinical Hospital No 1 name after A. N. Kabanov
Russian Federation
Russian Federation
Anatolij I. Malyuk
OmskS. V. Chernenko
Omsk State Medical University
Russian Federation
Russian Federation
Sergej V. Chernenko
OmskReferences
1. Girsh A. O., Stukanov M. M., Maksimishin S. V. et al. Vozmozhnost’ sovershenstvovaniya okazaniya neotlozhnoj medicinskoj pomoshchi bol’nym s travmaticheskim shokom. Politravma, 2017, No 2, рр. 23–33. (in Russ.).
2. Haut E. R. Prehospital intravenous fluid administration is associated with higher mortality in trauma patients // Ann. Surg. 2011. Vol. 253. P. 371–377.
3. Fabiano G. Traumatic shock physiopathologic aspects // J. Chir. 2008. Vol. 29, No 1–2. P. 51–57.
4. Keel М. Pathophysiology of polytrauma // Injury. 2005. Vol. 36, No 6. P. 691–709.
5. Nacional’noe rukovodstvo po skoroj pomoshchi / pod red. A. L. Vertkina. Moscow: Izdatel’stvo GEOTAR-Media, 2012, 816 р. (in Russ.).
6. Rebrova O. Yu. Statisticheskij analiz medicinskih dannyh: primenenie paketa prikladnyh programm STATISTICA. Moscow: Izdatel’stvo Medicina, 2006, 305 р. (in Russ.).
7. Bilello J. F. Prehospital hypotension in blunt trauma: Identifying the «crump factor» // J. Trauma. 2011. Vol. 70, No 5. P. 1038–1042.
8. Bruns B. Prehospital hypotension redefined // J. Trauma. 2008. Vol. 65, No 6. P. 1217–1221.
9. Van den Elsen M. J. Hemodynamic support of the trauma patient // Curr. Opin. Anaesthesiol. 2010. Vol. 23, No 2. P. 269–275.
10. Feather C. Just one drop: the significance of a single hypotensive blood pressure reading during trauma resuscitations // J. Trauma. 2010. Vol. 68, No 6. P. 1289–1294.
11. Girsh A. O., Stukanov M. M., Yudakova T.N et al. Vzaimosvyaz’ pokazatelej serdechnososudistoj sistemy i endotelial’noj disfunkcii u bol’nyh s travmaticheskim shokom. Politravma, 2015, No 3, рр. 37–44 (in Russ.).
12. Girsh A. O., Mal’kov O.A, Yudakova T. N. et al. Sopryazhennost’ pokazatelej serdechno-sosudistoj sistemy i endotelial’noj disfunkcii u bol’nyh s gemorragicheskim shokom. Anesteziologiya i reanimatologiya. 2013, No 6, рр. 11–14 (in Russ.).
13. Davenport R. Pathogenesis of acute traumatic coagulopathy // Transfusion. 2013. Vol. 53, No 1. P. 235–275.
Review
For citations:
Stepanov S.S., Girsh A.O., Stukanov M.M., Leonov G.V., Malyuk A.I., Chernenko S.V. THE STATISTICAL IMPORTANCE OF INFLUENCE OF VARIOUS OPTIONS OF INFUSIONAL THERAPY ON PARAMETERS OF A HOMEOSTASIS OF PATIENTS WITH HEAVY TRAUMATIC SHOCK. EMERGENCY MEDICAL CARE. 2019;20(4):51-57. (In Russ.) https://doi.org/10.24884/2072-6716-2019-20-4-51-57
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