The antistress effect of Xenon in subnarcotic concentrations in children with severe injuries

Autor: V. A. Mitish, P. V. Medinsky, I. F. Ostreikov, T. F. Ivanova, V. I. Lukyanov, O. C. Melnichuk, Vladimir G. Bagaev, T. C. Sabinina, V. H. Amcheslavsky
Rok vydání: 2020
Předmět:
Zdroj: Russian Journal of Pediatric Surgery. 24:249-255
ISSN: 2412-0677
1560-9510
Popis: Introduction. In the present trial, the authors studied anti-stress properties of subnarcotic concentrations of gas Xenon (Xe) which is used for treating children with severe traumas. Purpose. To study anti-stress properties of subnarcotic concentrations of gas Xenon (Xe) which is used for treating children with severe injuries. Material and methods. 10 children, aged 13 ± 3 years, with severe trauma were taken into the study: 6 girls with mine-explosive injuries ( a terrorist attack in Kerch in 2018), 3 boys with multiple dog bites and one patient after a traffic accident. To treat them, 20-30% Xe with O2 was used. A session lasted for 20 minutes; the course included from 5 to 12 sessions. Device KTK-01 (LLC “KseMed”, Russia) was used. Pain intensity was assessed with the numerical rating scale (NRS) , sedative effect - with BIS index and Ramsey sedation scale. Patients’ blood was also examined for the level of somatotropic hormone (STH), cortisol (Co) and insulin. Results. Indications for Xe therapy in children were: persistent pain syndrome (PS) and acute stress disorder (ASD). Patients fell asleep (drug-induced sleep) under 20-30% Xe concentration in the respiratory mixture. The average values of BIS index decreased from 95.5 ± 2.5 U to 86.5 ± 5.0 U (p
Databáze: OpenAIRE