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Bibliografia publikacji pracowników
Państwowej Szkoły Wyższej w Białej Podlaskiej

Baza tworzona przez Bibliotekę Akademii Bialskiej im. Jana Pawła II.


Zapytanie: EMYASHEV O V
Liczba odnalezionych rekordów: 2



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Nr opisu: 0000040434
Autorzy: Oleksandr V. Oliynyk, O.V. Emyashev, K. Yu. Krenyov, V. Oliynyk, A. Slifirchik, B. Pereviznyk.
Tytuł pracy: Porivnâl'na harakteristika vplivu neinvazivnoï j invazivnoï ventilâciï legeniv na perebig sepsisu
Tytuł równoległy: Comparative characteristics of impact of moninvasive and invasive pulmonary ventilation on the sepsis course
Tytuł czasopisma:
Szczegóły: 2020, Vol. 87, no 1-2, p. 39--42
p-ISSN: 0023-2130
e-ISSN: 2522-1396
Charakterystyka formalna: artykuł w czasopiśmie zagranicznym
Charakterystyka merytoryczna: artykuł oryginalny naukowy
Charakterystyka wg MNiSW: artykuł w czasopiśmie bez IF (wykaz MEiN)
Język publikacji: UKR
Punktacja ministerstwa: 20.000
Słowa kluczowe ang.: noninvasive pulmonary ventilation ; sepsis
https://hirurgiya.com.ua/index.php/journal/article/view/784
DOI: 10.26779/2522-1396.2020.1-2.39
Streszczenie: Objective. To compare the impact of noninvasive and invasive pulmonary ventilation on the course of sepsis, caused by severe neurotrauma, complicated by an acute respiratory distress syndrome of light degree. Materials and methods. In a randomized multicenter investigation 60 patients took part (all - the men) with diagnosis: an acute cranio-cerebral trauma, sepsis, an acute respiratory distress-syndrome of light degree. The patients' average age was (43.8 ą 8.6) yr. Method of accidental distribution of patients was used to form two groups with 30 patients in every one. In the first group a regime of coerced invasive pulmonary ventilation with the volume control (Synchronized Intermittent Mandatory Ventilation - SIMV) was applied in the treatment. In the second group a regime of noninvasive pulmonary ventilation (Constant Positive Airway Pressure - CPAP) was applied. There were established the exclusion criteria for the investigation: disorder of cognition, unstable hemodynamics, presence of roentgenological signs of pneumonia. While conduction of ventilation in the SIMV regime a respiratory volume was established and calculated by 4 - 6 ml/kg of the patient's body mass, the pressure plateau did not exceed 22.5 mm Hg, while end-expiratory positive pressure have constituted 6.0 mm Hg. While conduction of noninvasive pulmonary ventilation there was used the end-expiratory positive pressure 6.0 mm Hg value with supportive pressure up to 11.3 mm Hg, and maximal pressure did not exceeded 22.5 mm Hg. Results. Ventilation in the CPAP regime have predicted the positive end-respiratory pressure as opposite towards ventilation in the SIMV regime, and the sepsis course improvement, manifested by leukocytosis reduction in 1.3 times, procalcitonin content in the blood serum - in 2 times, occurrence of the ventilator-associated pneumonia - in 5 times and mortality index - in 3 times. Conclusion. The data obtained lead to conclusion, that application of noninvasive pulmonary ventilation in septic patients and acute respiratory distress-syndrome of light degree promotes lowering of the occurrence risk for a ventilator-associated pneumonia and mortality index.

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Nr opisu: 0000039259
Autorzy: Oleksandr Oliynyk, Anna Ślifirczyk, O.V. Emyashev, B. Pereviznyk, K. Yu. Krenyev.
Tytuł pracy: Invasive Lung Ventilation in the Patients with Sepsis and Mild Acute Respiratory Distress Syndrome Aggravates Sepsis Course
Tytuł czasopisma:
Szczegóły: 2019, Vol. 8, issue 12, p. 1716-1719
p-ISSN: 2319-7064
Charakterystyka formalna: artykuł w czasopiśmie zagranicznym
Charakterystyka merytoryczna: artykuł oryginalny naukowy
Charakterystyka wg MNiSW: artykuł spoza wykazu MEiN
Język publikacji: ENG
Punktacja ministerstwa: 5.000
Praca recenzowana
Słowa kluczowe ang.: acute respiratory distress syndrome ; non-invasive lung ventilation ; sepsis
Uwaga: Kopia dostępna w Sekcji Bibliometrii.
https://www.ijsr.net/archive/v8i12/ART20203636.pdf
DOI: 10.21275/ART20203636
Streszczenie: Research on the comparative efficacy of artificial lung ventilation in the patients with sepsis and mild acute respiratory distress syndrome under various regimens is the issue of today. The actual view on the topic being diverse, in most scientists view further research is needed. The objective of the research has been to compare the treatment outcomes of the patients with severe neurotrauma, sepsis, and mild acute respiratory distress syndrome (ARDS), depending on whether forced ventilation with regulated volume or noninvasive ventilation (NIV) is used as the regimen of ventilation support. Materials and methods: Involved in the randomized multicenter research were 60 men (mean age 43.8+8.6 years) with craniocerebral trauma, sepsis, and mild ARDS. The patients were divided into 2 groups (30 men in each) using random distribution method. In group 1, synchronized intermittent mandatory ventilation (SIMV) with regulated volume was used, whereas in group 2 continuous positive airway pressure (?PAP) was applied. Excluded from the research were those with impairment of consciousness, unstable hemodynamics, and X-ray evidence of pneumonia. In SIMV forced ventilation, respiratory volume was based on 4-6 ml/kg, the plateau level not exceeding 30 mbar, 8 mbar positive end-expiratory pressure (PEEP) being applied. Non-invasive lung ventilation was performed at 8 mbar PEEP, up to 15 mbar support pressure, the maximum pressure not exceeding 30 mbar. Results: In comparison with invasive lung ventilation, application of non-invasive lung ventilation in the patients with severe craniocerebral trauma, sepsis, and mild ARDS has been shown to contribute to the improvement of disease course, revealing itself in 1.32 times leukocytosis decrease, 2 times reduction in the blood serum procalcitonin content, as well as in 5 and 3 times decrease in the incidence of ventilator-associated pneumonias and mortality rate, respectively. Conclusion: Our findings taken into consideration, it may be concluded that application of non-invasive lung ventilation in the patients with mild ARDS and sepsis is appropriate, this treatment technique decreasing both the risk of ventilator-associated pneumonias and mortality rate. It can be argued that the application of non-invasive lung ventilation reduces the activity of septic process.

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