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Bibliografia publikacji pracowników
Państwowej Szkoły Wyższej w Białej Podlaskiej

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



Zapytanie: SEPSIS
Liczba odnalezionych rekordów: 5



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Nr opisu: g omeprazole as an intravenous infusion; patients in Group 2 received placebo instead of omeprazole, in addition to a similar therapy regimen as Group 1. Results: Among patients receiving omeprazole, the number of concomitant ventilator-associated pneumonia cases increased by 1.32 times, the number of acute kidney damage cases by 1.33 times and the number of cases of Clostridium difficile toxin secretion with feces by 1.75 times. Conclusions: The routine use of omeprazole in the management of patients with sepsis may worsen treatment results.^aostre uszkodzenie nerek^aacute renal injury^aKwestia korelacji stosowania omeprazolu z możliwym rozwojem szpitalnego zapalenia płuc, ostrego uszkodzenia nerek czy biegunki wywołanej przez Clostridium difficile u pacjentów z sepsą wymaga dalsz
Autorzy: , ostre uszkodzenie nerekacute renal injuryKwestia korelacji stosowania omeprazolu z możliwym rozwojem szpitalnego zapalenia płuc, ostrego uszkodze.
Tytuł pracy:
Tytuł pracy w innym języku: ostre uszkodzenie nerekacute renal injuryKwestia korelacji stosowania omeprazolu z możliwym rozwojem szpitalnego zapalenia płuc, ostrego uszkodzenia nerek czy biegunki wywołanej przez Clostridium difficile u pacjentów z sepsą wymaga dalszych badań. Materiał i metody: W ślepym i randomizowanym badaniu kontrolowanym placebo przebadano 200 pacjentów z p
Szczegóły:
Uwagi: ostre uszkodzenie nerekacute renal injuryKwestia korelacji stosowania omeprazolu z możliwym rozwojem szpitalnego zapalenia płuc, ostrego uszkodzenia nerek czy biegunki wywołanej przez Clostridium difficile u pacjentów z sepsą wymaga dalszych badań. Materiał i metody: W ślepym i randomizowanym badaniu kontrolowanym placebo przebadano 200 pacjentów z poważnymi obrażeniami czaszkowo-mózgowymi, którzy w wyniku tej patologii przeszli operację, i u których w okresie pooperacyjnym rozwinęła się sepsa. Zostali oni podzieleni na dwie grupy. Grupa 1 przyjmowała omeprazol w formie wlewu dożylnego w dziennej dawce 0,2 mg/kg jako część kompleksowego leczenia sepsy; grupa 2 przyjmowała placebo zamiast omeprazolu jako dodatek do głównej terapii, podobnej do tej stosowanej w przypadku grupy 1. Wyniki: Wśród pacjentów przyjmujących omeprazol liczba przypadków towarzyszącego respiratorowego zapalenia płuc wzrosła o 1,32 raza, ostrego uszkodzenia nerek - o 1,33 r
Uwagi:
Język publikacji: acjentów z poważnymi obrażeniami czaszkowo-mózgowymi, którzy w wyniku tej patologii przeszli operację, i u których w okresie pooperacyjnym rozwinęła się sepsa. Zostali oni podzieleni na dwie grupy. Grupa 1 przyjmowała omeprazol w formie wlewu dożylnego w dziennej dawce 0,2 mg/kg jako część kompleksowego leczenia sepsy; grupa 2 przyjmowała placebo zamiast omeprazolu jako dodatek do głównej terapii, podobnej do tej stosowanej w przypadku grupy 1. Wyniki: Wśród pacjentów przyjmujących omeprazol liczba przypadków towarzyszącego respiratorowego zapalenia płuc wzrosła o 1,32 raza, ostrego uszkodzenia nerek - o 1,33 raza, a wydalenia toksyn Clostridium difficile w kale - o 1,75 raza. Wnioski: Rutynowe stosowanie omeprazolu w leczeniu pacjentów z sepsą może pogorszyć wyniki terapii.^arespiratorowe zapalenie płuc^aventilator-associated pneumonia^asepsa^asepsis^auraz mózgu^abrain injury^azakażenie Clostridium difficile^aClostridial infection
Punktacja ministerstwa: acjentów z poważnymi obrażeniami czaszkowo-mózgowymi, którzy w wyniku tej patologii przeszli operację, i u których w okresie pooperacyjnym rozwinęła się sepsa. Zostali oni podzieleni na dwie grupy. Grupa 1 przyjmowała omeprazol w formie wlewu dożylnego w dziennej dawce 0,2 mg/kg jako część kompleksowego leczenia sepsy; grupa 2 przyjmowała placebo zamiast omeprazolu jako dodatek do głównej terapii, podobnej do tej stosowanej w przypadku grupy 1. Wyniki: Wśród pacjentów przyjmujących omeprazol liczba przypadków towarzyszącego respiratorowego zapalenia płuc wzrosła o 1,32 raza, ostrego uszkodzenia nerek - o 1,33 raza, a wydalenia toksyn Clostridium difficile w kale - o 1,75 raza. Wnioski: Rutynowe stosowanie omeprazolu w leczeniu pacjentów z sepsą może pogorszyć wyniki terapii.^arespiratorowe zapalenie płuc^aventilator-associated pneumonia^asepsa^asepsis^auraz mózgu^abrain injury^azakażenie Clostridium difficile^aClostridial infection
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Nr opisu: nyk B.^aoriginal-article^bOryginalny artykuł naukowyACZartykuł w czasopiśmie zagranicznym^a998899^b99979920.0000020.000PUNKTACJA KBNPUNKTACJA MINISTERSTWA20.000PUNKTACJA UWM^a009999.000^b009979.000^c009999.000^d009979.000202020202020Porivnâl'na harakteristika vplivu neinvazivnoï j invazivnoï ventilâciï legeniv na00000404340000001076AOartykuł oryginalny naukowyPUBLIKACJAPEŁNA PUBLIKACJAABartykuł w czasopiśmie bez IF (wykaz MNiSW)AFILIACJA PODANAUKRhttps://hirurgiya.com.ua/index.php/journal/article/view/784100^a0023-2130^bQ^iX^jXY^kQ024607^a003^b003^c2020-11-10, 13:38^d2020-11-10, 13:45^e3419948901^f3419948894^aPorivnâl'na harakteristika vplivu neinvazivnoï j invazivnoï ventilâciï legeniv na perebig sepsisu^aComparative characteristics of impact of moninvasive and invasive pulmonary ventilation on the sepsis course^aKlinichna khirurhiia^a2020^bVol. 87^cno 1-2^dp. 39--42^a0023-2130^b2522-1396^a2019/2020^a10.26779/2522-1396.2020.1-2.39^anoninvasive pulmonary ventilation^aFINAL_PUBLISHED^bCC-BY^cAT_PUBLICATION^eOPEN_JOURNAL^aObjective. 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
Autorzy: , .
Tytuł czasopisma:
Miejsce wydania: original-article998899009999.0000023-2130003Porivnâl'na harakteristika vplivu neinvazivnoï j invazivnoï ventilâciï legeniv na perebig sepsisuComparative characteristics of impact of moninvasive and invasive pulmonary ventilation on the sepsis courseKlinichna khirurhiia20200023-21302019/202010.26779/2522-1396.2020.1-2.39noninvasive pulmonary ventilationFINAL_PUBLISHEDObjective. 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 crite
Wydawca: Oryginalny artykuł naukowyACZartykuł w czasopiśmie zagranicznym99979920.0000020.000PUNKTACJA KBNPUNKTACJA MINISTERSTWA20.000PUNKTACJA UWM009979.000Q003Vol. 872522-1396CC-BY
Rok wydania: 009999.0002020-11-10, 13:38no 1-2AT_PUBLICATION
Charakterystyka formalna: the sepsis course^aKlinichna khirurhiia^a2020^bVol. 87^cno 1-2^dp. 39--42^a0023-2130^b2522-1396^a2019/2020^a10.26779/2522-1396.2020.1-2.39^anoninvasive pulmonary ventilation^aFINAL_PUBLISHED^bCC-BY^cAT_PUBLICATION^eOPEN_JOURNAL^aObjective. 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.^asepsis
Charakterystyka wg MNiSW:


3/5
Nr opisu:
Autorzy: .
Tytuł pracy:
Tryb dostępu: 009999.000003 : 009994.000 : R : 003, 009999.000, 2
Charakterystyka formalna: stress 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.^anon-invasive lung ventilation^asepsis
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Nr opisu: evaluation in patients with severe sepsis, caused by severe traumatic brain inj00000320110000002553AOartykuł oryginalny naukowyPUBLIKACJAPEŁNA PUBLIKACJAABartykuł w czasopiśmie bez IF (wykaz MNiSW)AFILIACJA PODANAENGhttps://www.termedia.pl/TREATMENT-RESULTS-EVALUATION-IN-PATIENTS-WITH-SEVERE-SEPSIS-CAUSED-BY-SEVERE-TRAUMATIC-BRAIN-INJURY-AT-INTENSIVE-CARE-UNIT-OF-TERNOPIL-UNIVERSITY-HOSPITAL,99,27030,0,1.htmlPRACA RECENZOWANA100^a2353-6942^bB^e2354-0265^fB^gABC^hABC^iX^jXY^a003^b003^c2016-04-13, 09:17^d2016-12-19, 11:06^e3826919322^f3818859133^aTreatment results evaluation in patients with severe sepsis, caused by severe traumatic brain injury at intensive care unit of Ternopil University Hospital^aOcena wyników leczenia pacjentów z ciężką sepsą spowodowaną silnym urazowym uszkodzeniem mózgu na oddziale intensywnej terapii Uniwersyteckiego Szpitala w Tarnopolu^aHealth Problems of Civilization^a2016^bVol. 10^cissue 1^dp. 5--9^a2353-6942^b2354-0265^a2015/2016^a10.5114/hpc.2016.58201^aOliynyk, Oleksandr^asepsa^asepsis^aFINAL_PUBLISHED^bCC-BY-NC-SA^cBEFORE_PUBLICATION^eOPEN_JOURNAL^aBackground. Severe traumatic brain injury stays one of the main reasons of humans' mortality until the age of 40. Ternopil University Hospital delivers medical care to the patients with neurosurgical pathology of Ternopil region, which is comprised of 1 107 000 citizens. Material and methods. In this paper we analyzed the treatment results of 301 patients with severe traumatic brain injury (STBI), who were treated at intensive care unit of Ternopil University Hospital during 2013-2014. Microbiological research and evaluation of results were accomplished according to generally accepted principles, based on the Bergey's classification. Results. In 72 patients it was complicated by severe sepsis. The mortality rate in clinic reached 29.7 % in 2013-2014, or equals 1.9 person per 100 000 of population. Among the intensive care unit patients with STBI, who had the surgery based on this pathological condition, sepsis developed in 23.9% of patients. Acute respiratory distress syndrome (ARDS), which complicated sepsis, was successfully cured in 73.3% of cases, by additional usage of traditional ventilation, kinesiotherapy, oxygen therapy and pulse therapy with glucocortisteroids (GS). 22.2% of patients obtained acute renal failure, 9.72% of patients were treated by implementing hemodialysis. Concomitant polytrauma was present in 23.9% of patients. Conclusions. Theusageof pulse therapy with gl
Autorzy: .
Tytuł pracy w innym języku: 2353-6942003Treatment results evaluation in patients with severe sepsis, caused by severe traumatic brain injury at intensive care unit of Ternopil University HospitalOcena wyników leczenia pacjentów z ciężką sepsą spowodowaną silnym urazowym uszkodzeniem mózgu na oddziale intensywnej terapii Uniwersyteckiego Szpitala w TarnopoluHealth Problems of Civilization20162353-69422015/201610.5114/hpc.2016.58201Oliynyk, OleksandrsepsasepsisFINAL_PUBLISHEDBackground. Severe traumatic brain injury stays one of the main reasons of humans' mortality until the age of 40. Ternopil University Hospital delivers medical care to the patients with neurosurgical pathology of Ternopil region, which is comprised of 1 107 000 citizens. Material and methods. In this paper we analyzed the treatment results of 301 patients with severe traumatic brain injury (STBI), who were treated at intensive care unit of Ternopil University Hospital during 2013-2014. Microbiological research and evaluation of results were accomplished according to generally accepted principles, based on the Bergey's classification. Results. In 72 patients it was complicated by severe sepsis. The mortality rate in clinic reached 29.7 % in 2013-2014, or equals 1.9 person per 100 000 of population. Among the intensive care unit patients with STBI, who had the surgery based on this pathological condition, sepsis developed in 23.9% of patients. Acute respiratory distress syndrome (ARDS), which complicated sepsis, was successfully cured in 73.3% of cases, by additional usage of traditional ventilation, kinesiotherapy, oxygen therapy and pulse therapy with glucocortisteroids (GS). 22.2% of patients obtained acute renal failure, 9.72% of patients were treated by implementing hemodialysis. Concomitant polytrauma was present in 23.9% of patients. Conclusions. Theusageof pulse therapy with glucocortisteroids additionally to traditional mechanical ventilation, kinesiotherapy, and oxygen therapy for the treat : B : 003 : Vol. 10 : 2354-0265 : CC-BY-NC-SA
Tytuł czasopisma:
Punktacja ministerstwa: nts with severe sepsis, caused by severe traumatic brain inj00000320110000002553AOartykuł oryginalny naukowyPUBLIKACJAPEŁNA PUBLIKACJAABartykuł w czasopiśmie bez IF (wykaz MNiSW)AFILIACJA PODANAENGhttps://www.termedia.pl/TREATMENT-RESULTS-EVALUATION-IN-PATIENTS-WITH-SEVERE-SEPSIS-CAUSED-BY-SEVERE-TRAUMATIC-BRAIN-INJURY-AT-INTENSIVE-CARE-UNIT-OF-TERNOPIL-UNIVERSITY-HOSPITAL,99,27030,0,1.htmlPRACA RECENZOWANA100^a2353-6942^bB^e2354-0265^fB^gABC^hABC^iX^jXY^a003^b003^c2016-04-13, 09:17^d2016-12-19, 11:06^e3826919322^f3818859133^aTreatment results evaluation in patients with severe sepsis, caused by severe traumatic brain injury at intensive care unit of Ternopil University Hospital^aOcena wyników leczenia pacjentów z ciężką sepsą spowodowaną silnym urazowym uszkodzeniem mózgu na oddziale intensywnej terapii Uniwersyteckiego Szpitala w Tarnopolu^aHealth Problems of Civilization^a2016^bVol. 10^cissue 1^dp. 5--9^a2353-6942^b2354-0265^a2015/2016^a10.5114/hpc.2016.58201^aOliynyk, Oleksandr^asepsa^asepsis^aFINAL_PUBLISHED^bCC-BY-NC-SA^cBEFORE_PUBLICATION^eOPEN_JOURNAL^aBackground. Severe traumatic brain injury stays one of the main reasons of humans' mortality until the age of 40. Ternopil University Hospital delivers medical care to the patients with neurosurgical pathology of Ternopil region, which is comprised of 1 107 000 citizens. Material and methods. In this paper we analyzed the treatment results of 301 patients with severe traumatic brain injury (STBI), who were treated at intensive care unit of Ternopil University Hospital during 2013-2014. Microbiological research and evaluation of results were accomplished according to generally accepted principles, based on the Bergey's classification. Results. In 72 patients it was complicated by severe sepsis. The mortality rate in clinic reached 29.7 % in 2013-2014, or equals 1.9 person per 100 000 of population. Among the intensive care unit patients with STBI, who had the surgery based on this pathological condition, sepsis developed in 23.9% of patients. Acute respiratory distress syndrome (ARDS), which complicated sepsis, was successfully cured in 73.3% of cases, by additional usage of traditional ventilation, kinesiotherapy, oxygen therapy and pulse therapy with glucocortisteroids (GS). 22.2% of patients obtained acute renal failure, 9.72% of patients were treated by implementing hemodialysis. Concomitant polytrauma was present in 23.9% of patients. Conclusions. Theusageof pulse therapy with glucocortisteroids additionally to traditional mechanical ventilation, kinesiotherapy, and oxygen therapy for the treatment of acute respiratory distress syndrome helps to improve the life expectancy of patients.^aŚlifirczyk, Anna^aurazowe uszkodzenie mózgu^atraumatic brain injury^aWprowadzenie. Silne urazowe uszkodzenie mózgu pozostaje jedną z głównych przyczyn zgonów pacjentów w wieku poniżej 40 lat. Uniwersytecki Szpital w Tarnopolu zapewnia opiekę medyczną pacjentom z patologią neurologiczną z regionu Tarnopola, który zamieszkuje 1,107,000 mieszkańców. Materiał i metody. W tym artykule zostały przeanalizowane wyniki leczenia 301 pacjentów z silnym urazowym uszkodzeniem mózgu (STBI), którzy byli leczenie na oddziale intensywnej terapii w Uniwersyteckim Szpitalu w Tarnopolu w latach 2013-2014. Badania mikrobiologiczne oraz ocena wyników przeprowadzono zgodnie z ogólnie przyjętymi zasadami w obdarciu o klasyfikację Bergeya. Wyniki. W przypadku 72 pacjentów komplikacją była ciężka sepsa. Śmiertelność zanotowana
Praca recenzowana
Słowa kluczowe ang.: 0201620162016Treatment results evaluation in patients with severe sepsis, caused by severe traumatic brain inj00000320110000002553AOartykuł oryginalny naukowyPUBLIKACJAPEŁNA PUBLIKACJAABartykuł w czasopiśmie bez IF (wykaz MNiSW)AFILIACJA PODANAENGhttps://www.termedia.pl/TREATMENT-RESULTS-EVALUATION-IN-PATIENTS-WITH-SEVERE-SEPSIS-CAUSED-BY-SEVERE-TRAUMATIC-BRAIN-INJURY-AT-INTENSIVE-CARE-UNIT-OF-TERNOPIL-UNIVERSITY-HOSPITAL,99,27030,0,1.htmlPRACA RECENZOWANA100^a2353-6942^bB^e2354-0265^fB^gABC^hABC^iX^jXY^a003^b003^c2016-04-13, 09:17^d2016-12-19, 11:06^e3826919322^f3818859133^aTreatment results evaluation in patients with severe sepsis, caused by severe traumatic brain injury at intensive care unit of Ternopil University Hospital^aOcena wyników leczenia pacjentów z ciężką sepsą spowodowaną silnym urazowym uszkodzeniem mózgu na oddziale intensywnej terapii Uniwersyteckiego Szpitala w Tarnopolu^aHealth Problems of Civilization^a2016^bVol. 10^cissue 1^dp. 5--9^a2353-6942^b2354-0265^a2015/2016^a10.5114/hpc.2016.58201^aOliynyk, Oleksandr^asepsa^asepsis^aFINAL_PUBLISHED^bCC-BY-NC-SA^cBEFORE_PUBLICATION^eOPEN_JOURNAL^aBackground. Severe traumatic brain injury stays one of the main reasons of humans' mortality until the age of 40. Ternopil University Hospital delivers medical care to the patients with neurosurgical pathology of Ternopil region, which is comprised of 1 107 000 citizens. Material and methods. In this paper we analyzed the treatment results of 301 patients with severe traumatic brain injury (STBI), who were treated at intensive care unit of Ternopil University Hospital during 2013-2014. Microbiological research and evaluation of results were accomplished according to generally accepted principles, based on the Bergey's classification. Results. In 72 patients it was complicated by severe sepsis. The mortality rate in clinic reached 29.7 % in 2013-2014, or equals 1.9 person per 100 000 of population. Among the intensive care unit patients with STBI, who had the surgery based on this pathological condition, sepsis developed in 23.9% of patients. Acute respiratory distress syndrome (ARDS), which complicated sepsis, was successfully cured in 73.3% of cases, by additional usage of traditional ventilation, kinesiotherapy, oxygen therapy and pulse therapy with glucocortisteroids (GS). 22.2% of patients obtained acute renal failure, 9.72% of patients were treated by implementing hemodialysis. Concomitant polytrauma was present in 23.9% of patients. Conclusions. Theusageof pulse therapy with glucocortisteroids additionally to traditional mechanical ventilation, kinesiotherapy, and oxygen therapy for the treatment of acute respiratory distress syndrome helps to improve the life expectancy of patients.^aŚlifirczyk, Anna^aurazowe uszkodzenie mózgu^atraumatic brain injury^aWprowadzenie. Silne urazowe uszkodzenie mózgu pozostaje jedną z głównych przyczyn zgonów pacjentów w wieku poniżej 40 lat. Uniwersytecki Szpital w Tarnopolu zapewnia opiekę medyczną pacjentom z patologią neurologiczną
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ISBN: 998899009999.000003Dosvid likuvannâ hvorih na tâžku čerepno-mozkovu travmu, uskladnenu tâžkim sepsisom, y viddilenni anesteziologiï ta intensivnoïterapiï Ternopil'skoï universitets'koï likarniExperience of treatment of severe brain injury, complicated by severe sepsis in De
Tryb dostępu: original-article998899009999.000 : Oryginalny artykuł naukowyACZartykuł w czasopiśmie zagranicznym : 999999 : 009999.000, 009999.000
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Streszczenie: sepsasepsisKopia dostępna w Dziale Gromadzenia, Opracowania i Kontroli Zbiorów Biblioteki PSW.The results of treatment of 72 patients with severe traumatic brain injury, complicated by severe sepsis, treated at the Department of Anesthesiology and Intensive Care of Ternopil Medical University Hospital in 2013-2014. The death rate from this disease in the clinic was in 2013-2014 - 29,7 %. among patients treated in department with diagnose of severe brain trauma, patients with sepsis were occurred in 23,9 % cases. We used the protocol for the treatment of severe traumatic brain injury by american Association of Neurosurgeons (2007). Acute respiratory distress syndrome, as complication of sepsis was successfully treated in 73,3 % of cases. In addition to using of traditional ventilation, kinesiotherapy, oxygenotherapy was used the pulse therapy with glucocorticoids. 18 % patients carried ventilation longer than 30 days. Over the last 3 years we observed the revealed increased of sensitivity of microflora to chloramphenicol, streptomycin, gentamicin.Ślifirczyk, Annauraz mózgowo-czaszkowybrain injuryantybiotykoopornośćantibiotic resistancetlenoterapiaoxygenotherapykinezyterapiakinesiotherapyPain, Anaesthesia and Intensive Care

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