Email this article 
Post a Comment Use of early puncture-dilatational tracheostomy in case of transferring patients with acute cerebral circulation disorder and new coronavirus infection COVID-19 to artificial lung ventilation
- Authors: Liapustin S.B.1,2, Sulimova N.A.1
-
Affiliations:
- E.A. Vagner Perm State Medical University
- Clinical Hospital of Sverdlovsk District
- Issue: Vol 38, No 5 (2021)
- Pages: 49-54
- Section: Original studies
- URL: https://journals.rcsi.science/PMJ/article/view/96171
- DOI: https://doi.org/10.17816/pmj38549-54
- ID: 96171
Cite item
Full Text
Abstract
Objective. To assess the use, safety and effectiveness of puncture-dilatational tracheostomy (PDT) performed immediately after the tracheal intubation in patients with cerebrovascular accident (CVA) and new coronavirus infection (NCI).
Materials and methods. Patients with CVA and NCI treated at ICU underwent PDT using the Ultraperc kit according to the Ciaglia technique immediately after the tracheal intubation.
Results. The results of treatment of 12 patients with CVA and 21 patients with NCI were investigated, the safety of manipulation, treatment results, and mortality in groups were evaluated.
Conclusions. The puncture-dilatational tracheostomy, performed as early as possible, allows improving disease outcomes in CVA, facilitating patients’ care, and ensuring greater safety of patients and staff.
Full Text
##article.viewOnOriginalSite##About the authors
S. B. Liapustin
E.A. Vagner Perm State Medical University; Clinical Hospital of Sverdlovsk District
Author for correspondence.
Email: lyapustin_doc@rambler.ru
Candidate of Medical Sciences, Head of Department of Anesthesiology, Resuscitation and Intensive Medicine
Russian Federation, Perm; PermN. A. Sulimova
E.A. Vagner Perm State Medical University
Email: lyapustin_doc@rambler.ru
Candidate of Medical Sciences, Assistant Professor, Department of Anesthesiology, Resuscitation and Intensive Medicine
Russian Federation, PermReferences
- Ershov V.I., Belkin A.A., Zabolotskikh I.B., Gorbachev V.I., Gritsan A.I., Lebedinskiy K.M., Protsenko D.N., Leyderman I.N., Shchegolev A.V., Petrikov S.S., Solodov A.A., Gazenkampf A.A., Chirkov A.N., Silkin V.V., Sukhotin S.K , Shamaev S.Yu., Gorbachev S.V., Fisher V.V., Balaev I.V., Sadriev R.R., Miroshnichenko I.V., Karpets A.V., Redyukov A.V., Sultanova I.V., Zybin K.D., Tikhomirova A.A., Konareva T.I., Khodchenko V.V., Zaripov R.Sh., Bortsov N.A., Golubkina A.A., Gorbunov D.A., Tukhanov V.V., Ershova S.V., Meshcheryakov A.O., Kuz'michev D.A., Bolodurin K.S., Bragina N.V.,. Stadler V.V., Katasonov A.G. The Russian multicenter observational clinical study "Register of respiratory therapy in patients with CVA (RETAS)": a comparative analysis of CVA outcomes during ventilation. Vestnik intensivnoy terapii im. A.I. Saltanova 2020; 4: 28–41 (in Russian).
- Zabolotskikh I.B., Kirov M.Yu., Lebedinskiy K.M., Protsenko D.N., Avdeev S.N., Andreenko A.A., Arsent'ev L.V., Afonchikov V.S., Afukov I.I., Belkin A.A., Boeva E.A., Bulanov A.Yu., Vasil'ev Ya.I., Vlasenko A.V., Gorbachev V.I., Grigor'ev E.V., Grigor'ev S.V., Gritsan A.I., Eremenko A.A., Ershov E.N., Zamyatin M.N., Kuzovlev A.N., Kulikov A.V., Lakhin R.E., Leyderman I.N., Len'kin A.I., Mazurok V.A., Musaeva T.S., Nikolaenko E.M., Orlov Yu.P., Petrikov S.S., Roytman E.V., Ronenson A.M., Smetkin A.A., Sokolov A.A., Stepanenko S.M., Subbotin V.V., Ushakova N.D., Khoronenko V.E., Tsarenko S.V., Shifman E.M., Shukevich D.L., Shchegolev A.V., Yaroshetskiy A.I., Yarustovskiy M.B. Anesthesiological and resuscitation support for patients with a new coronavirus infection COVID-19: methodological recommendations of the russian public organization "Federation of Anesthesiologists and Resuscitators". Vestnik intensivnoy terapii im. A.I. Saltanova 2020; S1:3–120 (in Russian).
- Temporary methodological recommendations "Prevention, diagnosis and treatment of a new coronavirus infection (COVID-19)". Version 11 (07.05.2021), available at: http://www.consultant.ru/ document/cons_doc _LAW_347896/ (in Russian)
- Tkachenko E.V., Goryachev A.S., Pavlov V.E., Klimov I.A., Luk'yanets O.B. Experience in implementing the technique of puncture-dilated tracheostomy and the results of a series of 11 operations performed in the intensive care unit. Vestnik intensivnoy terapii 2013; 2: 31–36 (in Russian).
- Mechanical Ventilation in COVID-19: Interpreting the Current Epidemiology. American Journal of Respiratory and Critical Care Medicine 2020; 1: 1–4.
- Krivonos V.V., Kichin V.V., Sungurov V.A., Prokin E.G., Kandrashin A.G., Fedorov S.A., Bezkorovaynyy P.N. A modern view of the problem of tracheostomy. Obshchaya reanimatologiya 2012; 8 (2): 53 (in Russian).
- Dulguerov P., Gysin C., Perneger TV., Chevrolet JC. Percutaneous or surgical tracheostomy: a meta-analysis. Crit Care Med 1999; 27: 1617–1625.
- Ciaglia P., Firsching R.N. Elective percutaneous dilational tracheostomy. Chest 1985; 87: 715–719
- Krylov V.V., Petrikov S.S., Ramazanov G.R., Solodov A.A. Neuro-resuscitation: practice guide. Second edition revised and expanded. Moscow: GEOTAR-Media 2016; 176 (in Russian).
Supplementary files
