Annals of pulmonary and critical care medicine最新文献

{"title":"Perioperative nutritional support. Clinical practice recommendations of the national “Federation of Anesthesiologists and Reanimatologists”","authors":"I. Leyderman, A. Gritsan, I. Zabolotskikh, V. Mazurok, I. Polyakov, A. Potapov, A. Sytov, A. Yaroshetskiy","doi":"10.21320/1818-474x-2021-4-7-20","DOIUrl":"https://doi.org/10.21320/1818-474x-2021-4-7-20","url":null,"abstract":"Numerous publications show that, depending on the type of pathology, protein-energy malnutrition develops in 2050 % of surgical patients directly in the hospital in the early postoperative period. Rather a great number of patients with surgical diseases are already hospitalized with varying degrees of malnutrition. From 30 % to 69 % of patients are admitted to the hospital with I-III grade of protein-energy malnutrition and require mandatory nutritional support. Risk factors for protein-energy malnutrition development are determined in 60-70 % of hospitalized patients. This clinical practice recommendations present the basic principles of nutritional support in the perioperative period.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83061658","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":"Prognostic value of serum albumin and urea nitrogen excretion in COVID-19 ICU patients: a single-center, prospective, cohort study","authors":"I. Leyderman, N. Lesteva, I. Kasherininov, A. Kuzmin, P. Akhimov, S. Barinova, N. Z. Kanshaov, V. Mazurok","doi":"10.21320/1818-474x-2021-3-61-68","DOIUrl":"https://doi.org/10.21320/1818-474x-2021-3-61-68","url":null,"abstract":"Introduction. Catabolic syndrome is typical for most critical illness situations. A long progressive course of hypercatabolism is considered by a number of authors as a prognostic criterion for negative clinical outcome of the disease. Objective. Evaluation of the prognostic value of some indicators of the severity of catabolic syndrome in ICU patients with COVID-19. Materials and methods. A prospective cohort study was conducted in 55 patients of the intensive care unit in the period from May 2020 to March 2021. The severity of hypercatabolism was determined by the dynamics of serum albumin and daily urinary nitrogen excretion within 14 days from admission to the ICU. Comparative analysis of nonparametric quantitative data was carried out using the Mann–Whitney test. To determine the predictive value of the diagnostic test, we plotted using the curves of operating characteristics (ROC, Receiver Operating Characteristics) with the subsequent determination of the sensitivity and specificity at the separation point. Results. ROC analysis revealed moderate sensitivity (75.9 %) and low specificity (58.1 %) of the daily urinary nitrogen excretion during the first 14 days of treatment in the ICU in patients with severe SARS-CoV-2. It was also shown that the dynamics of serum albumin has a low predictive value for negative clinical outcome. It should be noted that in the group of survived patients a significant increase in daily urinary nitrogen excretion was observed on days 4–7 (p = 0.022) and 8–14 (p = 0.01) of intensive therapy. Conclusion. Nitrogen urinary excretion is a more accurate prognostic marker of poor clinical outcome than serum albumin in ICU patients with severe COVID-19. The main feature of the catabolic syndrome in patients with positive clinical outcome is a progressive increase in the rate of urinary nitrogen excretion from 4 to 14 days after admission to ICU. © 2021, Practical Medicine Publishing House LLC. All rights reserved.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79624156","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":"Inhalation therapy with nitric oxide synthesized from atmospheric air in the postoperative period of cardiac surgery in children: single-center retrospective cohort study","authors":"A. Bautin, V. Selemir, A. Nurgalieva, K. Morozov, V. Nikiforov, L. Biktasheva, K. Afanasyeva, A. O. Marichev, D. Tashkhanov, L. Karpova, I.Yu. Ivanov, P. Akhimov, S. Buranov, V. Karelin, A. Shirshin, Yu. V. Valueva, S. Domnin, V. Pichugin","doi":"10.21320/1818-474x-2021-3-98-107","DOIUrl":"https://doi.org/10.21320/1818-474x-2021-3-98-107","url":null,"abstract":"","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76310597","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 management of patients receiving long-term antithrombotic therapy. Clinical practice recommendations of the national “Federation of Anesthesiologists and Reanimatologists”","authors":"I. Zabolotskikh, M. Kirov, V. Afonchikov, A. Bulanov, E. Grigoryev, S. Grigoryev, A. Gritsan, M. Zamyatin, I. Kurapeev, K. M. Lebedinskii, V. Lomivorotov, A. Lubnin, A. Ovechkin, V. I. Potievskaya, E. Roitman, S. V. Sinkov, V. Subbotin, R. Shadrin, E. Shulutko","doi":"10.21320/1818-474x-2021-3-7-26","DOIUrl":"https://doi.org/10.21320/1818-474x-2021-3-7-26","url":null,"abstract":"","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79123383","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":"Respiratory support in COVID-19 patients in Kommunarka hospital: a single-centered, retrospective study","authors":"Nikita S. Matiushkov, I. N. Tyurin, S. Avdeikin, A. Boyarkov, D. Kazakov, D. M. Kostin, A. V. Srednyakov, D. Protsenko","doi":"10.21320/1818-474x-2021-3-47-60","DOIUrl":"https://doi.org/10.21320/1818-474x-2021-3-47-60","url":null,"abstract":"Introduction. During the SARS-CoV-2 pandemic, worldwide healthcare system faced a new, insufficiently investigated, fast-spreading disease with multisystem failure and relatively high amount of severe diseased. Existing evidence base needs to be frequently revisited after data accumulation and analysis. Experience of dedicated COVID-19 centers should be summarized and implicated in clinical practice according to evidence-based principles, extensive clinical trial initiation. Objectives. To investigate baseline characteristics and treatment outcomes of patients with severe SARS-CoV-2 infection course, requiring respiratory support in the critical care settings of dedicated hospital. Materials and methods. In single-center retrospective study retrospective data collection of 451 respiratory support for COVID-19 related acute respiratory distress syndrome cases (noninvasive ventilation, mechanical ventilation) in intensive care unit patients for a 5-month period performed. The analysis aimed on demographic, clinical data, disease severity scores, respiratory support parameters and modality, continuous renal replacement therapy utilization and interleukin-6 receptor blockers administration, survival rates. Results. Respiratory support required 48.8 % of intensive care unit patients, the population was demographically balanced, Charlson Comorbidity Index was 4.46 ± 2.6 and was higher in the mechanically ventilated group. 30-day survival rate (all respiratory support cases) was 33.7 %, mortality structure analysis performed. The disease severity scores, respiratory mechanics among patients in dependence of respiratory support mode and during the period of case registration analysed as well. Median static respiratory compliance at the point of initiation of invasive mechanically ventilation was 43 (IQR 35–51). Mortality in the volume controlled mechanically ventilated group was higher. Conclusions. The patients, requiring respiratory support, during intensive care unit stay have high comorbidity levels. Indications for non-invasive ventilation may be extended on patients with lower Charlson index and initial SOFA score, however, early recognition of high risk of noninvasive ventilation failure required. Volume control invasive ventilation associated with higher mortality levels despite comparable disease severity scores. Further investigation required. © 2021, Practical Medicine Publishing House LLC. All rights reserved.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90298123","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 preand intraoperative factors on hospital mortality after elective cardiac surgery with cardiopulmonary bypass. A retrospective study","authors":"L. Berikashvili, A. Kuzovlev, M. Yadgarov, A. Ovezov, E. Ryabova, K. Kadantseva, S. Perekhodov, V. Likhvantsev","doi":"10.21320/1818-474x-2021-2-128-135","DOIUrl":"https://doi.org/10.21320/1818-474x-2021-2-128-135","url":null,"abstract":"","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86746845","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":"Blockade of the carotid sinus in endovascular surgery of the internal carotid arteries: why and to whom? Prospective single-center study","authors":"R. V. Polishchuk, M. Piradov, Y. Ryabinkina, V. Shchipakin, A. Koshcheev","doi":"10.21320/1818-474x-2021-4-106-114","DOIUrl":"https://doi.org/10.21320/1818-474x-2021-4-106-114","url":null,"abstract":"Introduction. The widespread use of transluminal balloon angioplasty with stenting of the internal carotid arteries as part of the prevention of ischemic stroke has led to an increase in the number of publications in the world literature indicating the development of carotid sinus syndrome (“hemodynamic instability”) in the perioperative period, cerebral and cardiac complications, and deaths. requires the development of other approaches to providing medical care to patients with atherosclerotic carotid stenosis. Objectives. To assess the efficacy and safety of carotid sinus blockade when performing angioplasty with stenting of the internal carotid arteries and to determine indications for its implementation. Materials and Methods. The study included 120 patients with atherosclerotic stenosis of the internal carotid arteries who underwent transluminal balloon angioplasty with stenting. 60 of them underwent carotid sinus blockade. Results. The incidence of SCS in the group of patients with BCS was 68.3 % (n = 41) versus 71.6 % (n = 43) in the group of patients without BCS (p > 0.05). However, none of the patients who underwent BCS had asystole and AV block (p < 0.05). With vasodepressor and cardio-inhibitory types, there is no significant difference in the time of occurrence of SCS between the groups (p > 0.05). With the most frequently developing type of SCS, mixed, the incidence of SCS with balloon dilatation is significantly lower with BCS - 16.7 % (BCS) versus 83.3 % (without BCS) (p < 0.05). When performing BCS in the group without SCS, in all cases there was no contralateral occlusion of the ICA (p < 0.05). Conclusions. BCS does not prevent the development of SCS, but eliminates such life-threatening complications as asystole and AV block. BCS can be indicated in patients with a history of cardiac pathology and is inappropriate for contralateral carotid occlusion.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"118 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82511631","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":"Analgesic efficacy of continuous intravenous infusion of morphine in patients after hip and knee joint endoprosthetics: prospective study","authors":"N. Govorova, S.A. Zverev, Y. Orlov, A. Klementyev, G. A. Baytugaeva","doi":"10.21320/1818-474x-2021-3-133-139","DOIUrl":"https://doi.org/10.21320/1818-474x-2021-3-133-139","url":null,"abstract":"","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84685726","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":"Iron metabolismin conditions of infection. Review","authors":"Yuriy P. Orlov, N. V Govorova, V. Lukach, G. A. Baĭtugaeva, A. V Klementyev, E. N. Kakulya","doi":"10.21320/1818-474x-2020-1-90-99","DOIUrl":"https://doi.org/10.21320/1818-474x-2020-1-90-99","url":null,"abstract":"The purpose of writing the review. Analysis of publications on the role of iron metabolism in the manifestation of the septic process and the dependence of bacterial flora activity on the conditions of their access to iron. Methods. More than 200 publications in pubmed, Medline, EMBASE medical literature databases were analyzed between 2000 and 2018 using the search words: iron and infection, iron and sepsis, iron exchange, iron and bacteria — including and available works in domestic (e-library) literature. Results. The review uses materials from 61 publications that meet the challenges of the search and reflect both the relationship between iron exchange and the development of the septic process and the importance for the medical community of understanding the identified relationships in the search for future therapeutic approaches. Conclusion. The review provides evidence of direct iron involvement in the manifestation of the septic process caused by various bacterial (q/-) and fungal flora. Introduction of iron-hesing agents and ciderophon — conjugate drugs to infected patients today seems to be a biologically acceptable approach as an auxiliary therapy in the treatment of septic process caused by pathogens dependent on iron supply (many bacterial and fungal pathogens), but the problem that is being raised certainly requires further experimental and clinical research.","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83249569","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":"Comment on the article of R.S. Lakotko et al. “Risk and significance of venous air embolism at neurosurgical operations in the position of sitting at adults”","authors":"A. Lubnin","doi":"10.21320/1818-474x-2020-1-100-104","DOIUrl":"https://doi.org/10.21320/1818-474x-2020-1-100-104","url":null,"abstract":"","PeriodicalId":93261,"journal":{"name":"Annals of pulmonary and critical care medicine","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81141960","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}