RESUMO
The closed injury of chest with the breaks of edges is the vital problem of traumatology, anesthesiology and resuscitation For the change to conservative treatment with the aid of mechanical ventilation of lungs today come the methods of surgical fixation with the closed injury of chest. The conducted investigation showed the clinical and economic expediency of introducing the method of active surgical tactics.
Assuntos
Cuidados Críticos/métodos , Respiração Artificial , Ressuscitação/métodos , Fraturas das Costelas/cirurgia , Ferimentos não Penetrantes/cirurgia , Adulto , Análise Custo-Benefício , Cuidados Críticos/economia , Feminino , Humanos , Masculino , Radiografia , Respiração Artificial/economia , Ressuscitação/economia , Fraturas das Costelas/diagnóstico por imagem , Fraturas das Costelas/economia , Fraturas das Costelas/mortalidade , Índices de Gravidade do Trauma , Resultado do Tratamento , Ferimentos não Penetrantes/diagnóstico por imagem , Ferimentos não Penetrantes/economia , Ferimentos não Penetrantes/mortalidadeRESUMO
The article deals with a multicenter study that demonstrates the possibility and feasibility of noninvasive ventilation in patients with skeletal trauma complicated wiith fat embolism syndrome. The authors found additional criteria for the severity of the condition of patients with trauma. Important criteria for the choose a type of ventilation (non-invasive and invasive) is the lack of consciousness, desynchronization of a patient with ventilator and the need for a specialized regimes or miorelaxation to synchronize with the respirator.