Anesteziologiya i reanimatologiya最新文献_第8页

Venous thromboembolic complications in patients with severe and extremely severe COVID-19 重症和极重症COVID-19患者的静脉血栓栓塞并发症

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology202104141

M. V. Bychinin, I. Mandel, T. Klypa, P. Avdonin, D. I. Korshunov, T.S. Bobrovitskaya, S. A. Andreichenko

{"title":"Venous thromboembolic complications in patients with severe and extremely severe COVID-19","authors":"M. V. Bychinin, I. Mandel, T. Klypa, P. Avdonin, D. I. Korshunov, T.S. Bobrovitskaya, S. A. Andreichenko","doi":"10.17116/anaesthesiology202104141","DOIUrl":"https://doi.org/10.17116/anaesthesiology202104141","url":null,"abstract":"Objective. To analyze the incidence and predictors of venous thromboembolic complications (VTEC) in COVID-19 patients ad-mitted to intensive care unit (ICU). Material and methods. A retrospective study recruited 200 ICU patients presenting with severe or critical COVID-19. Results. VTEC were found in 67 (33.5%) out of 200 patients. In 63 patients, deep and superficial vein thrombosis was observed. Four patients had pulmonary embolism. In 41 (20.5%) patients, VTEC occurred within the first day after admission to ICU. Patients presenting with VTEC had more extensive lung damage (CT data) and more common need for vasopressors (79.1% vs 59.4%, p=0.005) and mechanical ventilation (89.6% vs 60.2%, p=0.0001). Survival of these patients was lower (23 (34.3%) vs 76 (57.1%), p=0.003). There were significant differences in levels of von Willebrand factor antigen (vWF: Ag), interleukin 6 (IL-6), antithrombin III (AT III) and protein C. According to ROC analysis, vWF: Ag above 455% (AUC — 0.852 (0.69;1.00), p=0.008) was highly predictive for the risk of VTEC after 1 and 7 days. AT III below 72% (AUC — 0.77 (0.55;0.99), p=0.04) and IL-6 above 256 pg/ml (AUC — 0.85 (0.65;1.00), p=0.053) were prognostic factors of VTEC after the first day. Protein C below 81.5% at admission (AUC — 0.79 (0.59-0.99), p=0.042) was predictive regarding VTEC by the seventh day. Conclusion. Incidence of VTEC in ICU patients was 33.5%. In 60% of patients, VTEC developed before admission to ICU. vWF: Ag, AT III, IL-6, and protein C serve as predictors of VTEC in patients with severe or critical COVID-19. © 2021, Media Sphera Publishing Group. All rights reserved.","PeriodicalId":297480,"journal":{"name":"Anesteziologiya i reanimatologiya","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123655403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Clinical risks in intensive care unit: how are things with enteral nutrition? 重症监护病房的临床风险:肠内营养情况如何?

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology202202180

I. Pasechnik, A. Shchuchko, E. Skobelev

引用次数: 1

Artificial intelligence and machine learning in intensive care unit 重症监护病房的人工智能和机器学习

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology202104197

T. Ramaniuk, D.Yu. Pozdnyakov, F. Mushenok

引用次数: 0

Effectiveness of general and regional anesthesia for dermatolipofascioectomy in patients with upper limb swelling following mastectomy 全身和区域麻醉对乳房切除术后上肢肿胀患者皮脂筋膜切除术的疗效

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology202204166

P. Khudyakov, A. Potapov

引用次数: 3

Choosing the right statistical test 选择正确的统计检验

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology202103188

A. Kuzovlev, M. Yadgarov, L. Berikashvili, E. Ryabova, D.D. Goncharova, S. N. Perehodov, V. Likhvantsev

引用次数: 13

Lung ultrasound in the intensive care unit of the perinatal centre 围产期中心重症监护病房的肺部超声检查

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology202205167

E. A. Mishina, I. V. Ivanova, A.Yu. Pykhova, A.Yu. Trubitsyna, V. O. Bushuev

引用次数: 1

Cardiac protective properties of lidocaine as adjuvant component of general anesthesia in thoracic surgery for cancer 利多卡因辅助全身麻醉在胸腔肿瘤手术中的心脏保护作用

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology202301139

E. Aleksandrova, V. Khoronenko, A. Malanova, Yu.S. Zakharenkova, P. Suvorin

引用次数: 0

The physician studying philosophy is equal to gods 研究哲学的医生堪比神明

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology2021031110

Ph.M. Shvetskiy, V. I. Potievskaya

引用次数: 0

Perioperative management of patients with heart failure 心衰患者围手术期的处理

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology20210316

I. Zabolotskikh, A. Bautin, M. Zamyatin, K. M. Lebedinskii, V. I. Potievskaya, N. Trembach

引用次数: 8

Prediction of septic shock outcome in children requiring extracorporeal hemocorrection 需要体外血液矫正的儿童感染性休克结果的预测

Anesteziologiya i reanimatologiya Pub Date : 1900-01-01 DOI: 10.17116/anaesthesiology202206144

Y. Aleksandrovich, K. V. Serednyakov, V. Rybyanov, K. V. Pshenisnov

引用次数: 2