Perfusion disturbances and their correction in the acute period of traumatic disease in patients with concomitant shockogenic lesions
Shakh, B.N.; Bagnenko, S.F.; Lapshin, V.N.
Anesteziologiia i Reanimatologiia 2005(4): 34-39
2005
ISSN/ISBN: 0201-7563 PMID: 16206583 Document Number: 594797
The topicality of a study is determined by high mortality rates in victims with concomitant shockogenic injuries. A large proportion of victims die in the acute period of traumatic disease (TD). At this time, major changes are observed in the circulatory system. For optimization of intensive care, the authors have changed a clinical classification of the acute period of TD, by applying the principles of general pathology, the data on altered hemodynamics and microcirculation. The stages of infusing-transfusion therapy considering the specific features of changes during each period, which are characteristic for victims with reversible and irreversible shock, are described. Implementation of the infusion-transfusion therapy program proposed by the authors could reduce mortality in victims with concomitant mechanical shockogenic trauma.