Annals of pulmonary and critical care medicine最新文献

{"title":"Anesthesia and intensive care for patients with COVID-19. Russian Federation of anesthesiologists and reanimatologists guidelines","authors":"I. Zabolotskikh, M. Kirov, K. M. Lebedinskii, Protsenko Dn, S. Avdeev, A. Andreenko, L. V. Arsentyev, V. Afonchikov, I. Afukov, A. Belkin, E. A. Boeva, A. Bulanov, Ya.I. Vasiliev, A. V. Vlasenko, V. Gorbachev, E. V. Grigor’ev, S. V. Grigor'ev, A. Gritsan, A. Eremenko, E. N. Ershov, M. Zamyatin, G. Ivanova, A. Kuzovlev, A. V. Kulikov, R. E. Lakhin, I. Leiderman, A. Lenkin, V. Mazurok, Musaeva Ts, É. Nikolaenko, Y. Orlov, S. Petrikov, E. Roitman, A. Ronenson, A. Smetkin, A. Sokolov, S. Stepanenko, Subbotin Vv, N. D. Ushakova, V. Khoronenko, S. V. Tsarenko, E. Shifman, D. Shukevich, A. Shchegolev, A. Yaroshetskiy, M. Yarustovsky","doi":"10.21320/1818-474x-2020-s1-9-120","DOIUrl":"https://doi.org/10.21320/1818-474x-2020-s1-9-120","url":null,"abstract":"In the process of developing the recommendations, the publications of the official websites of the Russian Federation, the electronic databases of the RSCI, PubMed, MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were analyzed by the developers independently of each other. The date of the last search query was November 1, 2021. To develop the recommendations for the Guidelines, documents were used that directly describe the features of the management of patients with a new coronavirus infection COVID-19 (recommendations and guidelines - 35; randomized clinical trials and Cochrane Reviews - 23; observational and comparative studies - 134; other documents, notes and comments - 72). Compared to the previous, 5th, version of the recommendations, 35 provisions have been corrected in 10 sections. The provisions of the current version of the recommendations highlight the specifics of anesthesia, intensive care, rehabilitation, resuscitation measures, manipulation, transportation, prevention of the spread of COVID-19 in the implementation of these activities. Methods of protecting personnel from infection with COVID-19 during manipulations, anesthesia and intensive care are considered. The features of respiratory support, extracorporeal detoxification, extracorporeal membrane oxygenation, thromboprophylaxis, drug interactions are described. The features of the management of pregnant women, children, patients with concomitant diseases, the principles of the formation of stocks of drugs and consumables are considered. For management of COVID-19 patients, the following were specified and supplemented: 1) indications and contraindications for the administration of drugs (acetaminophen, glucocorticosteroids, remdesevir, tocilizumab, baricitinab, statins, convalescent plasma), depending on the severity of the disease; 2) features of intensive care for concomitant diseases (cardiovascular system, inflammatory bowel disease, cancer, arrhythmia); 3) the timing of elective surgery in patients who survive COVID-19, and post vaccination; 4) thromboprophylaxis and management of coagulation disorders; 5) regulatory and legal documents concerning the activities of healthcare workers facing COVID-19.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"317 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77962702","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}

{"title":"Ultrasound-guided catheterization of axillary vein of a small size","authors":"A. V. Karavaev","doi":"10.21320/1818-474x-2019-3-84-89","DOIUrl":"https://doi.org/10.21320/1818-474x-2019-3-84-89","url":null,"abstract":"","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88182593","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}

{"title":"Cardioprotection with the use of exogenous phosphocreatine in general surgery and critical conditions. Review","authors":"A. Yavorovskiy, A. Popov, P. Nogtev","doi":"10.21320/1818-474x-2020-3-56-65","DOIUrl":"https://doi.org/10.21320/1818-474x-2020-3-56-65","url":null,"abstract":"The number of surgeries performed for the elderly and senile persons with concomitant cardiovascular pathology is increasing every year. It is in this category of patients that the likelihood of developing perioperative cardiac complications is highest, which requires the use of cardioprotective measures to reduce the risk of their occurrence. One of the options for cardioprotection may be the use of drugs aimed at improving metabolism and maintaining adequate energy supply to the myocardium. Such metabolic agent is exogenous phosphocreatine. This article provides an overview of studies on the use of exogenous phosphocreatine as a cardioprotector in patients undergoing noncardiac surgery. The publications were searched for in PubMed / Medline, Embase, e-library, China National Knowledge Infrastructure, WANGFANG DATA. It has been shown that the use of phosphocreatine (PhC) in abdominal surgery, oncosurgery, during operations in traumatology, thoracic surgery, transplantation, as well as in intensive care units for sepsis and septic shock is associated with a decrease in the risk of cardiac complications and a reduction in mortality. Considering the above data on the positive cardioprotective effect of exogenous phosphocreatine in various surgeries, this protective agent can be recommended for wider application in clinical practice, especially in patients with high cardiac risk.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76899139","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}

{"title":"Cryoanalgesia. Review","authors":"D. Svirskii, E. Antipin, N. Bochkareva, A. Ibragimov, M. P. Yakovenko, E. Nedashkovskii","doi":"10.21320/1818-474x-2020-4-58-73","DOIUrl":"https://doi.org/10.21320/1818-474x-2020-4-58-73","url":null,"abstract":"","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82308843","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}

{"title":"Perioperative iron deficiency anemia in obstetrics. Possibilities of prevention and correction. Review","authors":"A. Kulikov, E. Shifman, A. Matkovsky, A.B. Kayumova, A. Ronenson","doi":"10.21320/1818-474X-2020-4-99-107","DOIUrl":"https://doi.org/10.21320/1818-474X-2020-4-99-107","url":null,"abstract":"","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"113 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80727432","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}

{"title":"Failures of intensive treatment of multiple organ failure: pathophysiology and the need for personalization","authors":"E. Grigoryev, D. Shukevich, G. Plotnikov, A. Kudryavtsev, A. Radivilko","doi":"10.21320/1818-474X-2019-2-48-57","DOIUrl":"https://doi.org/10.21320/1818-474X-2019-2-48-57","url":null,"abstract":"Полиорганная недостаточность (ПОН) — наиболее тяжелый исход критического состояния любого генеза (сепсис, травма, ишемия и реперфузия), планка летальности при данном синдроме не имеет тенденции к снижению. Обзорная статья предлагает прежде всего знакомство с ключевыми научными направлениями, по которым на данный момент развивается теория ПОН (исследование значимости аларминов, митохондриальная дисфункция, барьерная недостаточность, иммунологическое и неврологическое сопряжение, формы программированной гибели клеток, индуцированная иммуносупрессия, разрешение воспаления). Исследования доказывают целесообразность введения персонифицированного подхода к диагностике ПОН путем обоснования эндофенотипа критического состояния на основании комплекса иммунологических, геномных и клинических показателей.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"142 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80216339","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}

{"title":"Perioperative nutrition support for gastric cancer surgery. Comment on the article “Perioperative nutritional support. Russian Federation of anesthesiologists and reanimatologists guidelines”","authors":"A. Lubnin","doi":"10.21320/1818-474X-2019-1-108-110","DOIUrl":"https://doi.org/10.21320/1818-474X-2019-1-108-110","url":null,"abstract":"","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88512808","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}

{"title":"Pain syndrome in patients receiving chronic program dialysis","authors":"A. P. Spasova, O. Barysheva, V. Maltsev","doi":"10.21320/1818-474X-2019-1-52-64","DOIUrl":"https://doi.org/10.21320/1818-474X-2019-1-52-64","url":null,"abstract":"The review analyzes the prevalence of chronic pain syn-dromes in patients on chronic hemodialysis program. The fea-tures of the formation of pain are discussed, both during the hemodialysis procedure and in the interdialytic period. We consider methods for assessing chronic pain syndrome, taking into account its specifi cs, as well as the basic principles of therapy.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73720752","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}

{"title":"Influence of decompression and stabilization operations on the duration of hemodynamic support in patients with acute complicated injury of the cervical spine","authors":"I. Statsenko, M. Lebedeva, A. V. Palmash, S. A. Pervukhin, V. Rerikh, V. Lukinov","doi":"10.21320/1818-474X-2019-1-85-93","DOIUrl":"https://doi.org/10.21320/1818-474X-2019-1-85-93","url":null,"abstract":"Complicated injury of t he cervical spine is accompanied by a violation of blood circulation. This condition requires maintaining adequate perfusion pressure i n order to prevent secondary damage to the spinal cord and multiple organ failure. The authors did not evaluate the effect of the urgency o f spinal decompression on the severity and duration of systemic hypotension in this category of patients previously, as well as the presence of a connection between systemic hypotension and the outcome of the injury. Objective . To determine the effect of early decompression of the spinal cord on the duration and characteristics of adrenomimetics use in the bundle of intensive care mea-sures in the acute period of complicated neurological regression.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76416929","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}

{"title":"Hypophosphatemia and refeeding syndrome in the resumption of nutrition in critical care patients (review)","authors":"A. Yaroshetskiy, V. D. Konanykhin, S. O. Stepanova, N. Rezepov","doi":"10.21320/1818-474X-2019-2-82-91","DOIUrl":"https://doi.org/10.21320/1818-474X-2019-2-82-91","url":null,"abstract":"Синдром возобновления питания, или рефидинг-синдром (РФС) — жизнеугрожающее состояние, которое возникает при возобновлении питания у пациентов с исходной нутритивной недостаточностью. Впервые РФС был описан более 70 лет назад, но до сих пор мало исследован. Основа патогенеза РФС — выраженные водно-электролитные и метаболические нарушения, провоцируемые возобновлением питания, на фоне истощения запасов калия, магния, фосфора, приводящие к полиорганной недостаточности. Гипофосфатемия является основным диагностическим критерием РФС, при этом у пациентов отделения реанимации и интенсивной терапии (ОРИТ) существует множество других причин гипофосфатемии, что значительно затрудняет диагностику. Большинство исследований, посвященных РФС, проведены среди пациентов с нервной анорексией. В ОРИТ встречается около 34 % случаев РФС, но до сих пор все рекомендации по ведению этих больных были перенесены из практики лечения нервной анорексии и были основаны на мнениях экспертов. За последние годы появилось несколько крупных работ, которые доказали эффективность гипокалорийного подхода в лечении РФС у пациентов в критических состояниях. Настоящий обзор посвящен проблеме РФС у пациентов с нервной анорексией и пациентов ОРИТ, дифференциальной диагностике и подходам к лечению этого состояния.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"2005 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86904259","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}