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/10.24884/2072-6716-2022-23-3-17-23
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. StepanovRussian Federation
Sergey S. Stepanov
Omsk
A. O. Girsh
Russian Federation
Andrey O. Girsh
Omsk
M. M. Stukanov
Russian Federation
Maksim M. Stukanov
Omsk
G. V. Leonov
Russian Federation
Grigory V. Leonov
Omsk
A. I. Malyuk
Russian Federation
Anatoly I. Malyuk
Omsk
S. V. Chernenko
Russian Federation
Sergey V. Chernenko
Omsk
V. V. Mamontov
Russian Federation
Vasily V. Mamontov
Omsk
References
1. Girsh A. O., Stukanov M. M., Maksimishin S. V. et al. The possibility of improving the provision of emergency medical care to patients with traumatic shock. Polytrauma, 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 // G. 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. National guide to ambulance / ed. A. L. Vertkin. Moscow: Publishing house GEOTAR-Media, 2012. 816 p. (In Russ.)
6. Rebrova O. Yu. Statistical analysis of medical data: application of the STATISTICA application package. Moscow: Publishing house Medicine, 2006. 305 p. (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. Relationship between indicators of the cardiovascular system and endothelial dysfunction in patients with traumatic shock. Polytrauma, 2015, No. 3, рр. 37–44 (In Russ.)
12. Girsh A. O., Malkov O. A., Yudakova T. N. Correlation of indicators of the cardiovascular system and endothelial dysfunction in patients with hemorrhagic shock. Anesthesiology and resuscitation, 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., Mamontov V.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. 2022;23(3):17-23. (In Russ.) https://doi.org/10.24884/2072-6716-2022-23-3-17-23