DOI: 10.25881/20728255_2023_18_2_90

Authors

Stepanov S.S.1, Girsh A.O.1, Stukanov M.M.2, Eselevich R.V.3, Malyuk A.I.4, CHernenko S.V.1, Mamontov V.V.1, Korzhuk M.S.3

1 Omsk state medical university, Russia, Omsk

2 Municipal Healthcare Establishment First aid hospital, Russia, Omsk

3 Military medical academy named after S.M.Kirov, Russia, Saint-Petersburg

4 Municipal Healthcare Establishment Omsk City Clinical Hospital №1, Russia, Omsk

Abstract

In work it is presented that application of infusion therapy for patients with heavy traumatic shock at a prehospital stage is not only pathogenetic expedient, but also authentically reasonable component of antishock treatment. It is revealed that the most effective option of volume compensation for patients with severe traumatic shock at pre-hospital and hospital stages of treatment is the use of sterofundin isotonic and 4% the modified gelatin.

Keywords: traumatic shock, infusion therapy.

References

1. Girsh AO, et al. Possibility of improvement of rendering tmtrgency medical service for patients with traumatic shock. Polytrauma. 2017; 2: 23-33. (In Russ.)

2. Haut ER, Kalish BT, Cotton BA, et al. Prehospital intravenous fluid administration is associated with higher mortality in trauma patients: a National Trauma Data Bank analysis. Ann Surg. 2011; 253(2): 371-377. doi:10.1097/SLA.0b013e318207c24f.

3. Fabiano G, Pezzolla A, Filograna MA, Ferrarese F. Lo shock traumatico. Aspetti fisiopatologici. G Chir. 2008; 29(1-2): 51-57.

4. Keel M, Trentz O. Pathophysiology of polytrauma. Injury. 2005; 36(6): 691-709. doi:10.1016/j.injury.2004.12.037.

5. Natsional’noe rukovodstvo po skoroi pomoshchi. Vertkin AL, editor. Moscow: Geotar-Media, 2012. (In Russ.)

6. Samokhvalov IM, Petrov AN, Reva VA, MyasnikovNI. Hybrid technologies in the treatment of the severe concomitant injury (Literature review). Voenno-meditsinskii Zhurnal. 2021; 342(9): 69-77. (In Russ.) doi: 10.52424/00269050_2021_342_9_69.

7. Rebrova OJu. Statisticheskij analiz medicinskih dannyh: primenenie paketa prikladnyh programm STATISTICA. Moscow: Medicina, 2006. (In Russ.)

8. Bilello JF, Davis JW, Lemaster D, et al. Prehospital hypotension in blunt trauma: identifying the “crump factor”. J Trauma. 2011; 70(5): 1038-1042. doi:10.1097/TA.0b013e31819638d0.

9. Bruns B, Gentilello L, Elliott A, Shafi S. Prehospital hypotension redefined. J Trauma. 2008; 65(6): 1217-1221. doi:10.1097/TA.0b013e318184ee63.

10. van den Elsen MJ, Leenen LP, Kesecioglu J. Hemodynamic support of the trauma patient. Curr Opin Anaesthesiol. 2010; 23(2): 269-275. doi:10.1097/ACO.0b013e328336b8d0.

11. Seamon MJ, Feather C, Smith BP, Kulp H, Gaughan JP, Goldberg AJ. Just one drop: the significance of a single hypotensive blood pressure reading during trauma resuscitations. J Trauma. 2010; 68(6): 1289-1295. doi:10.1097/TA.0b013e3181db05dc.

12. Girsh AO, et al. Intercommunication of indexes of cardiovascular system and endothelial dysfunction in patients with traumatic shock. Polytrauma. 2015; 3: 37-44. (In Russ.)

13. Girsh AO, et al. Relations of cardiovascular system and endothelial dysfunction in patients with hemorragic shock. Anesteziologija i reanimatologija. 2013; 6: 11-14. (In Russ.)

14. Davenport R. Pathogenesis of acute traumatic coagulopathy. Transfusion. 2013; 53(1): 23-27. doi:10.1111/trf.12032.

For citation

Stepanov S.S., Girsh A.O., Stukanov M.M., Eselevich R.V., Malyuk A.I., CHernenko S.V., Mamontov V.V., Korzhuk M.S. The statistical importance of influence of various options of infusion therapy on parameters of a homeostasis of patients with heavy traumatic shock. Bulletin of Pirogov National Medical & Surgical Center. 2023;18(2):90-94. (In Russ.) https://doi.org/10.25881/20728255_2023_18_2_90