[Influence of the blood gas composition and mechanical ventilation parameters of the medical evacuation prognosis of critically ill patients.]

Autor:	Minin AS; FGBOU VO Tyumen State Medical University, Department of obstetrics, gynecology and resuscitation with a course of clinical and laboratory diagnostics, 625023, Tyumen, Russia.; GBUS TO «Regional clinical hospital №1», 625032, Tyumen, Russia.; Territorial center of disaster medicine of Tyumen region, 625032, Tyumen, Russia., Shen NP; FGBOU VO Tyumen State Medical University, Department of obstetrics, gynecology and resuscitation with a course of clinical and laboratory diagnostics, 625023, Tyumen, Russia.; GBUS TO «Regional clinical hospital №1», 625032, Tyumen, Russia., Panov ID; FGBOU VO Tyumen State Medical University, Department of obstetrics, gynecology and resuscitation with a course of clinical and laboratory diagnostics, 625023, Tyumen, Russia.; GBUS TO «Regional clinical hospital №2», 625039, Tyumen, Russia., Bem SA; GBUS TO «Regional clinical hospital №1», 625032, Tyumen, Russia.; Territorial center of disaster medicine of Tyumen region, 625032, Tyumen, Russia.
Jazyk:	ruština
Zdroj:	Klinicheskaia laboratornaia diagnostika [Klin Lab Diagn] 2020; Vol. 65 (2), pp. 84-89.
DOI:	10.18821/0869-2084-2020-65-2-84-89
Abstrakt:	The clinical estimation of the state of patient is one of the basic components of the checking of the state of patient, but more precise and more objective indices today become necessary. The arterial blood gases analysis helps to select the optimum regime of mechanical ventilation. The medical evacuation of the critically ill patients frequently requires the correction of the parameters of respiratory support. The conducted investigations showed that the prognostics of unfavorable outcome within the first three days from the moment of the medical evacuation are hypercapnia, which exists during the process of evacuation in spite of the correction of the parameters of mechanical ventilation, reduction in the saturation of the arterial blood. The forecast of the medical evacuation is located as well in the direct correlation with the manifestation of acidosis, and at the moment of the completion of the transfer of the patient the greatest prognostic significance they possess the low level of the partial tension of oxygen in the artery. The application of a portable express- analyzer of blood gases permits implementation of correction parameters of respiratory support and to increase quality and safety of the medical evacuation of patients. Competing Interests: The authors declare no conflict of interest.
Databáze:	MEDLINE
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