FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to anesthesiology and reanimatology, and can be used for post-anesthesia managing of patients. Immediately after operation essential indices are determined in complex: severity of patient's state by APACHE III (A) scale, reduction of average arterial pressure during anesthesia from pre-operation level (ΔAP), reduction of saturation of venous blood hemoglobin with oxygen during anesthesia lower than 65% (ΔSvO2), central temperature at the moment of anesthesia termination (T), operation volume (O). Basing on description table 1 each index is given corresponding points: ΔAP=0÷2, ΔSvO2=0÷2, 0=1÷4, criteria A and T are taken into account by absolute values. After that by formula PC=0.0518*A+1.51*"ДАД"+1.024*ASvO2-0.04*T+1.67*O, prognostic coefficient (PC) is determined. If PC value is lower than 3.3 duration of recovery during 1 hour is predicted, if PC= 3.4-6.4 duration of recovery longer than 1 hour and to 6 hours is predicted, if PC= 6.5-9.3 duration of recovery longer than 6 hours is predicted, and if PC is greater than 9.3 duration of recovery longer than 9 hours is predicted.
EFFECT: method allows to increase self-descriptiveness and reliability of detecting possible states after long operative interventions.
5 tbl, 4 ex
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Authors
Dates
2009-12-20—Published
2008-04-03—Filed