METHOD OF DETERMINING MICROCIRCULATORY INJURIES IN CASE OF SHOCK AND EFFICIENCY OF ANTI-SHOCK TREATMENT Russian patent published in 2013 - IPC A61F5/02 A61B8/06 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to disaster medicine, critical care medicine, to anesthesiology and resuscitation, and can be used in case of shock. For this purpose patient is placed into horizontal lying on back position. Head end of bed is preliminarily given 0° inclination. Pulsation on symmetric sections of upper extremities in direction from proximal end of extremity to distal end is determined by means of ultrasonic Dopplerography. Pad of distal phalanx with the highest temperature index is determined by means of contactless infrared thermometry. Pneumatic cuff is applied on the lower third of shoulder, blown up to pressure, necessary to stop pulsation, which is determined by means of ultrasonic Dopplerography. 120 seconds after cessation of blood flow pressure in cuff is reduced to zero, recovery of pulsation is controlled be means of ultrasonic Dopplerography, registration of temperature of selected pad of distal finger phalanx is performed every 30 seconds for 5 minutes. If temperature of distal phalanx pad increases 0.1-1.0°C from initial temperature parameter after 30-60 seconds conclusion about normal state of microcirculatory bed and/or adequate carrying out of anti-shock therapy is made. If temperature of distal phalanx pad increases by 0.1-1.0°C after 60-300 seconds conclusion about reversible microcirculatory injuries and necessity of carrying out additional anti-shock procedures is made. If no excess of temperature of distal phalanx pad by 0.1-1.0°C is observed after 60-300 seconds conclusion about severe microcirculatory injuries and necessity of carrying out resuscitation procedures is made.

EFFECT: method makes it possible to determine efficiency of anti-shock treatment adequately due to elaborated criteria of assessment of microcirculatory injuries.

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