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[6 principles of the therapeutic and diagnostic process in severe combined mechanical injury and the characteristics of their realization during the staged treatment of victims].

https://arctichealth.org/en/permalink/ahliterature213090
Source
Vestn Khir Im I I Grek. 1996;155(5):80-4
Publication Type
Article
Date
1996
Author
I A Eriukhin
V G Marchuk
V F Lebedev
V V Boiarintsev
Source
Vestn Khir Im I I Grek. 1996;155(5):80-4
Date
1996
Language
Russian
Publication Type
Article
Keywords
Accidents, Traffic
Acute Disease
Adolescent
Adult
Emergencies
First Aid
Humans
Male
Middle Aged
Military Personnel
Multiple Trauma - diagnosis - rehabilitation - surgery
Russia
Trauma Centers
Abstract
Great experience with treatment and a comprehensive investigation of the severe combined trauma allowed the authors to choose six basic principles to be followed in diagnosing and treatment of this surgical pathology whose peculiarity is the phenomenon of mutual aggravation of the injuries. Following these principles, especially at surgical hospitals, promotes complete diagnosing, choice of the rational treatment policy in order to avoid medical errors and severe posttraumatic and postshock complications and to improve the outcomes. The authors prove expediency of organization of the multifield specialized centers for treatment of patients with the severe combined traumas.
PubMed ID
9123768 View in PubMed
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[Acute insufficiency of the gastrointestinal tract in patients with severe gunshot injury].

https://arctichealth.org/en/permalink/ahliterature191604
Source
Vestn Khir Im I I Grek. 2001;160(5):89-93
Publication Type
Article
Date
2001
Author
S V Gavrilin
G L Gerasimov
V V Boiarintsev
V F Lebedev
M G Kobiashvili
V G Fedorov
G E Ivanovskii
Source
Vestn Khir Im I I Grek. 2001;160(5):89-93
Date
2001
Language
Russian
Publication Type
Article
Keywords
Abdominal Injuries - complications - therapy
Acute Disease
Adult
Female
Gastrointestinal Diseases - etiology
Humans
Male
Multiple Organ Failure - etiology
Risk factors
Russia
War
Wounds, Gunshot - complications - therapy
Abstract
Acute insufficiency of the gastrointestinal tract (GIT) in patients with severe gunshot injuries is an important link of pathogenesis of the polyorganic insufficiency syndrome. The character of the wound, the numerical score objective assessment of the injury severity and severity of the patient's state are considered to be criteria of early diagnosis of a risk of the development of acute insufficiency of GIT. The specific feature of "general" intensive therapy of acute insufficiency of GIT in severe gunshot traumas is the necessary application of regional anesthesia, sympatholytics, anticholinesterase agents and H2-blockers. Intensive "enteral" therapy of acute insufficiency of GIT in severe gunshot wounds includes the measures resulting in improvement of microcirculation, tissue respiration in organs of GIT, decompression of the stomach, local defense of mucosa, detoxication and early enteral balanced nutrition. The described method of treatment of wounded to the stomach used at specialized medical institutions resulted in 6.2 less lethality among this category of patients.
PubMed ID
11837007 View in PubMed
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[Infectious complications of polytraumas: microbiological and epidemiological aspects].

https://arctichealth.org/en/permalink/ahliterature165025
Source
Vestn Khir Im I I Grek. 2006;165(5):56-62
Publication Type
Article
Date
2006
Author
E K Gumanenko
P I Ogarkov
V F Lebedev
V V Boiarintsev
A A Kuzin
Source
Vestn Khir Im I I Grek. 2006;165(5):56-62
Date
2006
Language
Russian
Publication Type
Article
Keywords
Follow-Up Studies
Humans
Incidence
Retrospective Studies
Russia - epidemiology
Survival Rate - trends
Wound Infection - epidemiology - microbiology
Abstract
The authors discuss problems of terminology and definition of terms associated with surgery of injuries, polytrauma and a conception of wound dystrophy. Great statistical material (about 5000 casualties with polytrauma) was used to show the structure and frequency of infectious complications of severe associated injuries systematized according to the original classification of this pathology. The classification is based on a universal pathophysiological process developing in response to any extraordinary influence--a systemic inflammatory response. The mechanisms of the appearance of infectious complications of severe injuries are described. The authors propose new organizational and epidemiological accesses to prophylactics of infectious complications of polytraumas.
PubMed ID
17315690 View in PubMed
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[Rendering anesthesiological and resuscitation care to wounded by a medical reinforcement group in an armed conflict].

https://arctichealth.org/en/permalink/ahliterature192127
Source
Voen Med Zh. 2001 Oct;322(10):23-6, 96
Publication Type
Article
Date
Oct-2001
Author
Iu S Polushin
S V Gavrilin
O V Pashchenko
V Kh Samandarov
V F Lebedev
S V Somov
Source
Voen Med Zh. 2001 Oct;322(10):23-6, 96
Date
Oct-2001
Language
Russian
Publication Type
Article
Keywords
Anesthesia - methods
Hospitals, Military
Humans
Military Personnel
Resuscitation - methods
Russia
Transportation of Patients
War
Wounds, Gunshot - therapy
Abstract
The authors describe the aims and content of anesthesiologic and reanimatologic care of the medical reinforcement group in the medical institution of the 1st echelon of specialized care. Basing on the experience of treatment of 825 casualties with gunshot injuries the rational methods of anesthesia and intensive care are shown including the prolonged controlled ventilation, infusion-transfusion therapy, early enteral nutrition. The main causes of lethal outcomes are analyzed. The conclusion was made that during counter-terrorist operations it is reasonable to include anesthesiologists and reanimatologists into the medical reinforcement group.
PubMed ID
11764478 View in PubMed
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[The modern problems of intensive care in patients with wounds and traumas].

https://arctichealth.org/en/permalink/ahliterature183461
Source
Anesteziol Reanimatol. 2003 Jul-Aug;(4):39-41
Publication Type
Article
Author
S V Gavrilin
V Kh Samandarov
V V Boiarintsev
V N Lopata
V F Lebedev
Source
Anesteziol Reanimatol. 2003 Jul-Aug;(4):39-41
Language
Russian
Publication Type
Article
Keywords
Hospitals, Military - organization & administration - standards
Humans
Intensive Care - methods - organization & administration - standards
Intensive Care Units - organization & administration - standards
Military Personnel
Organizational Policy
Retrospective Studies
Russia
Trauma Severity Indices
Wounds and Injuries - therapy
Abstract
The results of rendering the intensive care to 2244 patients with severe wounds and traumas were analyzed, which made it possible to define the most topical problems needed to be resolved, i.e. treatment schemes for patients with vegetative state (similar to coma) and with asthenic syndrome, perfection of intensive care for the elderly and absolutization of some intensive care techniques. Perspective solutions are suggested to cope with the above issues, which comprise a bigger quantity of rehabilitation centers, an elaboration of pathogenetic tactics of intensive care for the elderly patients and revising the feasibility of a long-term use of the intensive care methods with respect to the regulation and integration suppressed by such methods.
PubMed ID
14524018 View in PubMed
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