A case of successful intensive treatment of a child with a severe burn injury

V.A. Matskevich1, Yu.B. Shukhat1, J.N. Kolegova1, O.L. Maximova1, E.O. Vasilieva1,2, A.I. Gritsan1,2

1 Krasnoyarsk Regional Clinical Hospital, Regional Public Health Institution, Krasnoyarsk

2 Krasnoyarsk State Medical University named after professor V.F. Voyno-Yasenetsky, Ministry of Health of the Russian Federation, Krasnoyarsk

For correspondence: Alexey I. Gritsan, Dr. med. Sci., Professor, Chief of the Department of Anaesthesiology and Intensive Care Krasnoyarsk of the State Medical University named after Professor V.F. Voyno-Yasenetsky, Ministry of Health of the Russian Federation, Krasnoyarsk; e-mail: gritsan67@mail.ru

For citation: Matskevich VA, Shukhat YuB, Kolegova JN, Maximova OL, Vasilieva EO, Gritsan AI. A case of successful intensive treatment of a child with a severe burn injury. Alexander Saltanov Intensive Care Herald. 2019;1:100–3.

DOI: 10.21320/1818-474X-2019-1-100-103

In this article presented the positive clinical experience of treatment of a child with deep extensive burns up to 85 % of the body surface. It is proved that successful treatment of this patient is possible only in a multidisciplinary clinic with combination of active surgical tactics, balanced infusion-transfusion, adequate antibacterial and immuno-substitutive therapy, control of microbiome of wound secret and biological fluids, usage of the air fluidized bed, personified dressing tactics, suitable nutritional support, a complex of modern rehabilitation measures.

Keywords: child, burn, narcosis, necrectomy, autodermoplasty, intensive care, wounds, air fluidized bed, antibiotics, rehabilitation

Received: 23.11.2018


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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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