A STUDY OF THE EFFECTIVENESS OF DIFFERENT METHODS OF ANESTHESIA IN VICTIMS OF ROAD TRAFFIC ACCIDENTS WITH THORACOABDOMINAL TRAUMA IN PRE-HOSPITAL AND HOSPITAL PERIODS
https://doi.org/10.24884/2072-6716-2021-22-1-46-52
Abstract
A study was conducted in 149 patients with diagnoses of thoracoabdominal trauma. In order to objectify the severity of the patients’ condition, a visual analog scale was used. To assess the state of the function of the autonomic nervous system in patients of the comparison group and the main group after the therapy, an analysis of heart rate variability was performed during the day. The combined use of dalargin, a narcotic analgesic and a non-steroidal anti-inflammatory drug, provided good analgesia, neurovegetative protection, when examined in the emergency room, the victims of the main group were in contact, which contributed to a more thorough collection of complaints, anamnesis and examination of the patient.
About the Authors
A. G. MiroshnichenkoRussian Federation
St. Petersburg
R. M. Rakhmanov
Russian Federation
Krasnoyarsk
М. A. Bolshakova
Russian Federation
Krasnoyarsk
A. A. Popov
Russian Federation
Krasnoyarsk
E. A. Popova
Russian Federation
Krasnoyarsk
А. A. Lyubchenko
Russian Federation
Krasnoyarsk
E. A. Rakhmanova
Russian Federation
Krasnoyarsk
D. S. Shamov
Russian Federation
Krasnoyarsk
О. I. Habarova
Russian Federation
Krasnoyarsk
R A. Mamedov
Russian Federation
Krasnoyarsk
References
1. Bagnenko S. F., Minnullin I. P., Chikin A. E., Razumny`j N.V., Fisenko V. S. Improving medical care for victims of road traffic accidents. Bulletin of Roszdravnadzor, 2013, No 5, рр. 25–30 (In Russ.).
2. Callcut R.A., Wakam G., Conroy A. S. et al. Discovering the truth about life after discharge: long-term traumarelated mortality // Journal of Trauma and Acute Care Surgery. 2016. Vol. 80, No 2. Р. 210–217.
3. Martel M.O., Wasan A. D., Jamison R. N., Edwards R. R. Catastrophic thinking and increased risk for prescription opioid misuse in patients with chronic pain // Drug and Alcohol Dependence. 2013. Vol. 132, No 1–2. Р. 335–341.
4. Plakhotnikov A. V., Chikun V. I., Zhukov D. V. et al. Analysis of road traffic accidents with a fatal outcome in the city of Krasnoyarsk and its suburbs according to the data of the Krasnoyarsk Regional Bureau of Forensic Medical Expertise for 2014–2015. Siberian Medical Review, 2017, No 4, pр. 19–23 (In Russ.).
5. Miroshnichenko A. G., Bolshakova M. A., Rakhmanov R. M. et al. Prospects for the use of the scale for assessing the severity of patients with isolated and combined trauma by an anesthesiologist- resuscitator in the anti-shock hall of the reception and diagnostic department. Emergency medical services, 2019, Vol. 20, No 4, рр. 44–50 (In Russ.). Order of the Ministry of Health of the Russian Federation of December 24, 2012, No 1445n “On the approval of the standard of emergency medical care in shock” [Electronic resource] (In Russ.). https://www.rosminzdrav.ru/documents/8646-prikaz-m inisterstvazdravoohraneniya-r ossiyskoy-federatsii-ot-24-dekabrya-2012-g-1445n-ob-utverzhdenii-s tandarta-skoroy- meditsinskoy-pomoschi-pri-shoke.
6. Huskisson E. C. Measurement of pain // Lancet. 1974. Vol. 304, Issue 7889. P. 1127–1131.
7. Baevsky R. N., Kirillov O. I., Kletskin S. Z. Mathematical analysis of changes in the heart rate under stress. Moscow: Publishing house Nauka, 1984, 219 p. (In Russ.).
8. Glancz S. Biomedical statistics: translation from English. Moscow: Publishing house Praktika, 1998, 459 р. (In Russ.).
Review
For citations:
Miroshnichenko A.G., Rakhmanov R.M., Bolshakova М.A., Popov A.A., Popova E.A., Lyubchenko А.A., Rakhmanova E.A., Shamov D.S., Habarova О.I., Mamedov R.A. A STUDY OF THE EFFECTIVENESS OF DIFFERENT METHODS OF ANESTHESIA IN VICTIMS OF ROAD TRAFFIC ACCIDENTS WITH THORACOABDOMINAL TRAUMA IN PRE-HOSPITAL AND HOSPITAL PERIODS. EMERGENCY MEDICAL CARE. 2021;22(1):46-52. (In Russ.) https://doi.org/10.24884/2072-6716-2021-22-1-46-52