FIELD: medicine. SUBSTANCE: method involves applying kinetic therapy using two schemes with Propopholum sedation on the background of mature distress syndrome form at the first or the second day of the disease based on changes in the monitoring data. Patient body position is to be changed 10 min later after inducing medicamentous sleep. The first scheme of the kinetic therapy is applied first of all. It is done by transferring the patient from the supine position to the lateral position (on right or left side), then into the prone position, then into the lateral position on the other side and then once more into the supine position. Time required for the mentioned four sequential changes of position is equal to 3-6 h in the first scheme repeating it 5-15 times. The required number of position changes being achieved within the first scheme when stable monitoring data are obtained and no postural responses are observed, sequential changes of patient positions are carried out according to the second scheme of the kinetic therapy described as back-to-side-to-the other side. Time required for the mentioned four sequential changes of position is equal to 5-10 h repeating the cycle 5-10 times. Sleep is induced by bolus injection of Propopholum at a dose of 0.3-0.7 mg/kg retaining the dose of 2 mg/kg/h during 10 min before changing patient position. Propopholum injections are continued at a dose of 2 mg/kg/h during 20 min after every position change cycle. Body positions are changed all the time without making long pauses during 2-6 days. EFFECT: reduced number of lethal outcomes in patients of resuscitation care profile. 4 cl, 1 tbl
Title | Year | Author | Number |
---|---|---|---|
METHOD FOR EVALUATING DYNAMIC COURSE OF RESPIRATORY DISTRESS SYNDROME | 1997 |
|
RU2153282C2 |
METHOD FOR PREVENTING AND TREATING VENTILATOR-ASSOCIATED PNEUMONIA | 2013 |
|
RU2531929C1 |
METHOD FOR ARTIFICIAL VOLUME-CONTROLLED LUNG VENTILATION | 2001 |
|
RU2207159C2 |
METHOD FOR DIAGNOSING THE CASES OF ACUTE LUNG DISORDER | 2003 |
|
RU2234855C1 |
METHOD FOR CARRYING OUT PROLONGED ARTIFICIAL PULMONARY VENTILATION | 2003 |
|
RU2255723C2 |
METHOD FOR EVALUATING ADEQUACY OF ASSISTED PULMONARY VENTILATION | 2003 |
|
RU2238073C1 |
METHOD FOR EVALUATING EFFECTIVENESS OF AUXILIARY LUNG VENTILATION | 2003 |
|
RU2242961C2 |
METHOD FOR DIAGNOSING ACUTE RESPIRATORY DISTRESS SYNDROME | 2000 |
|
RU2187962C2 |
METHOD OF PREDICTING DEVELOPMENT OF RESPIRATORY DISTRESS SYNDROME IN ADULTS WITH ISOLATED CRANIACEREBRAL INJURY | 1993 |
|
RU2085947C1 |
METHOD OF COMPLEX REHABILITATION OF PATIENTS PATHOLOGY OF LOCOMOTOR SYSTEM | 1998 |
|
RU2164128C2 |
Authors
Dates
2000-05-20—Published
1997-03-18—Filed