METHOD FOR TERMINATION OF LONG-TERM ARTIFICIAL PULMONARY VENTILATION IN CANNULATED PATIENTS WITH HIGH RISK OF INEFFECTIVE WEANING FROM RESPIRATOR Russian patent published in 2024 - IPC A61H31/00 A61M16/00 

FIELD: medicine; anesthesiology; resuscitation.

SUBSTANCE: invention can be used when prolonged artificial pulmonary ventilation is terminated in cannulated patients. Risk criteria of non-effective termination of artificial pulmonary ventilation are assessed, such as artificial pulmonary ventilation for 10 and more days, presence of a tracheostomy cannula, failed assisted pulmonary ventilation with inspiratory pressure of 5–8 cm of water and positive pressure at the end of expiration of 5–6 cm of water for 12 hours, rapid superficial respiration index is 70–100 breaths/min/l, patient's age is more than 53 years, presence of signs of ventilator-associated pneumonia. If observing one or more criteria, high-flow oxygen therapy (HFOT) is used at a flow rate of 50–60 l/min through a tracheostomy cannula immediately after disconnection from the respirator and subsequently to complete recovery of spontaneous breathing.

EFFECT: method makes it possible to reduce duration of application of ALV, to reduce frequency of complications of period of weaning from respirator, thereby reducing the risk of ineffective termination of ALV based on the use of HFOT with a tracheostomy connector, provides a reduced risk of developing purulent-septic pulmonary complications associated with the presence of a tracheostomy cannula and the use of a ventilator, reduces the length of treatment and reduces mortality due to a combination of techniques of the claimed invention.

1 cl, 1 ex