Experience in the use of cerebral oximetry at the stages of early rehabilitation of patients with ischemic stroke

V.M. Zhenilo1, A.V. Khripun1,2, I.V. Kladova2, D.V. Martynov1, D.S. Kostyukov1,2, K.A. Bondarenko2

1 Federal State Budgetary Educational Institution of Higher Education “Rostov State Medical University” of the Ministry of Healthcare of the Russian Federation, Rostov-on-Don

2 State budgetary institution of the Rostov region “Rostov Regional Clinical Hospital”, Rostov-on-Don

For correspondence: Dmitriy S. Kostyukov — anesthesiologist-resuscitator of Acute cerebral injury department, Regional Vascular Center of Rostov Regional Clinical Hospital, Rostov-on-Don; e-mail: kostykov.md@gmail.com

For citation: Zhenilo VM, Khripun AV, Kladova IV, Martynov DV, Kostyukov DS, Bondarenko KA. Experience in the use of cerebral oximetry at the stages of early rehabilitation of patients with ischemic stroke. Alexander Saltanov Intensive Care Herald. 2018;3:67–71.

DOI: 10.21320/1818-474X-2018-3-67-71

Stroke as the cause of death stably ranks second in world reports of the World Health Organization. Recently, one of the most pressing problems is the rehabilitation of this category of patients. The authors analyzed the realities of the modern approach to the verticalization of patients with acute disorders of the cerebral circulation and checked the possibility of improving control over it. The article condemns the possibility of using the method of early vertical introspection at the stage of early verticalization for possible prevention of perfusion complications with disturbance of oxygenation of the brain tissue during verticalization. A study of groups with ischemic strokes in carotid basins was carried out. Data were obtained on a significant decrease in cerebral oximetry indices during early verticalization in this category of patients. Conclusions are drawn on the need for further study with the purpose of introducing this technology into recommendations for the rehabilitation of patients with ischemic stroke.

Keywords: cerebral oximetry, rehabilitation, ischemic stroke, verticalization.

Received: 06.05.2018


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Clinical and Prognostic Aspects of Water-Electrolyte Homeostasis Disorders in the Acute Period of Ischemic Stroke

V.I. Ershov2, L.A. Aizhanova1, A.N. Chirkov1, A.M. Nazarov1,2, A.P. Gonchar-Zaikin2

1 Orenburg Regional Clinical Hospital, Orenburg

2 Orenburg State Medical University of the Ministry of Public Health of the Russian Federation, Orenburg

For correspondence: Vadim Ivanovich Ershov — doctor of Medical Sciences, Professor, Head of the Department of Anesthesiology and Reanimation of the Orenburg State Medical University, Director of the University Scientific Center of Neurology, Neuroreanimatology and Neurosurgery; e-mail: ervad2010@yandex.ru

For citation: Ershov VI, Aizhanova LA, Chirkov AN, Nazarov AM, Gonchar-Zaikin AP. Clinical and Prognostic Aspects of Water-Electrolyte Homeostasis Disorders in the Acute Period of Ischemic Stroke. Intensive Care Herald. 2017;4:53–57.

The aim. To reveal the influence of water-electrolyte disorders markers in the severe ischemic stroke acute period on the outcomes. Material and methods. The study included 150 patients with severe ischemic stroke of various pathogenetic subtypes. We studied the osmolarity and plasma sodium level (in the first day from the onset) influence on the prognosis of ischemic stroke. Results and discussion. The most common form of water-electrolyte disorders in patients with severe ischemic stroke is a hyperosmolar syndrome. Hypernatriemic hyperosmolar syndrome developed in patients at the onset of severe ischemic stroke is a predictor of an unfavorable outcome and is associated with higher lethality. The cardioembolic subtype of the ischemic stroke is associated with higher risk of death.

Keywords: ischemic stroke, pathogenic subtype, osmolarity

Received: 13.02.2017


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