METHOD OF PREDICTING RESPIRATORY DISORDERS IN PATIENTS WITH VENTRAL HERNIA IN POSTOPERATIVE PERIOD Russian patent published in 2013 - IPC A61B5/83 

FIELD: medicine.

SUBSTANCE: invention relates to anesthesiology, resuscitation science, and can be used for prevention and prediction of risk of development of respiratory disorders in patients with hernia of anterior abdominal wall in postoperative period. For this purpose before operation carried out is capnographic examination of patient with further determination of fraction of functional dead space in alveolar ventilation (FFDSAV) before reposition of hernia sac (FFDSAV1) and 20 minutes after reposition with fixation of its content in abdominal cavity by means of bandage (FFDSAV2). After that parameter FFDSAV2 is compared with parameter FFDSAV1. If FFDSAV2 does not change or reduces, conclusion about favourable prediction with respect to respiratory system functioning after operation is made. If FFDSAV2 value is less than or equals 35%, possible changes of lung function, which are within norm and do not require carrying out additional therapeutic measures, are predicted. If FFDSAV2 constitutes more than 35%, essential impairment of respiratory system functioning, requiring intensive therapy in conditions of resuscitation department, is predicted.

EFFECT: method makes it possible to predict at preoperative stage possible impairment from respiratory system in early postoperative period, and therefore select correct tactics of surgery and patient management after operation aimed at reduction of complications.

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