lactate

Information Significance of the qSOFA Scale for Current Clinical Medicine. Literature Review

Артем Без рубрики , , ,

V.A. Rudnov1,2, M.A. Astafeva2

1 Federal State Budgetary Educational Institution of Further Professional Education “Ural state medical university” Ministry of healthcare of the Russian Federation, Yekaterinburg

2 Municipal autonomic health care institution “City Clinical Hospital No. 40”, Yekaterinburg

For correspondence: Rudnov Vladimir Aleksandrovich — Dr. Med. Sci., Professor, Head of the Department of Anesthesiology, Reanimatology and Toxicology, UGMU, Deputy Chief Physician for Anaesthesiology and Reanimatology, MAU GKB No. 40, Ekaterinburg; e-mail: vrudnov@mail.ru

For citation: Rudnov V.A., Astafeva M.A. Information significance of the qSOFA scale for current clinical medicine. Literature review. Alexander Saltanov Intensive Care Herald. 2018;4:30–37.

DOI: 10.21320/1818-474X-2018-4-30-37

Active development of resuscitation and intensive care, establishment of departments and established clinical practice to understand the extreme heterogeneity of patients in critical conditions. One of the tools to reduce the number of errors and make an informed decision, depending on the situation. One of the shortcomings in the consciousness of scoring systems is their relative unwieldiness, the need for mandatory implementation of certain laboratory studies, which requires additional equipment and time. Therefore, attempts were made to create values based on clinical criteria or minimums. To such belongs the “early alarm” scale of the rapid SOFA.

The purpose of this publication was to assess the information significance of the qSOFA scale and determine its role for emergency and critical states, through analysis of literature data.

Conclusion. The qSOFA scale is designed to determine the risk of developing organ-system dysfunction, predicting the outcome of a critical condition and determining the location of the treatment delivery, not inferior to the sensitivity syndrome of the SVR, with respect to the prognosis of the outcome of sepsis in pacities with suspected infection, significantly exceeds its specificity.

Keywords: qSOFA scale, prognosis outcome, lactate, procalcitonin

Received: 19.10.2018

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Continuous Monitoring of Venous Lactate and Glucose Using Intravascular Microdialysis During Perioperative Period in High-risk Cardiac Surgery

Артем Без рубрики , , ,

P.I. Lenkin1, 2, A.A. Ushakov1, M.Y. Kirov1, 2

1Department of Anesthesiology and Intensive Care Medicine, Northern State Medical University, Arkhangelsk

2Department of Anesthesiology and Intensive Care Medicine, City Hospital 1 of Arkhangelsk

For correspondence: Lenkin Pavel I. — Department of Anesthesiology and Intensive Care Medicine, Northern State Medical University, Arkhangelsk; e-mail: bruber@mail.ru

For citation: Lenkin PI, Ushakov AA, Kirov MY. Continuous Monitoring of Venous Lactate and Glucose Using Intravascular Microdialysis During Perioperative Period in High-risk Cardiac Surgery. Intensive Care Herald. 2016;4:72–77.

We present two clinical cases of the successful application of a novel technique for continuous lactate and glucose monitoring using intravascular microdialysis during perioperative period in high-risk cardiac surgery.

Keywords: lactate, intravascular microdialysis, monitoring, cardiac surgery

Received: 06.12.2016

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Remaxol dose-dependent effect on central hemodynamics and metabolism in generalized peritonitis

Артем Без рубрики , , ,

Yu.P. Orlov, V.N. Lukacs, N.V. Govorova, A.V. Glushchenko, O.D. Dmitrieva

GBOY VPO “Omsk State Medical University” Ministry of Health of Russia, Omsk

For citation: Orlov YuP, Lukach VN, Govorova NV et al. Remaxol dose-dependent effect on central hemodynamics and metabolism in generalized peritonitis. Intensive Care Herald. 2016;1:27–32.

The aim of the study was to investigate the effectiveness of inclusion in remaxol regimens on hemodynamic parameters and processes of cellular metabolism in patients with severe generalized peritonitis.

Results of treatment of 24 patients who received preoperative medication preparation and surgical treatment in accordance with the standards of conduct, in the postoperative period 2 groups with the same intensive treatment protocol were formed. Patients of the first group (n=12) were administered for 5 days remaxol 800 ml per day. The second group (control) (n=12) in the program which remaxol infusion therapy was not used.

Results of the study showed that the inclusion of infusion therapy remaxol scheme in the postoperative period in patients with generalized peritonitis ensures efficient utilization of glucose and oxygen, reduces the severity of oxygen debt at the tissue level, providing mechanisms of oxidation on the more familiar processes for fabrics way, providing at the same time kateholaminomimetichesky effect, providing an earlier period when the central and stabilization of hemodynamic parameters during its injection velocity of 30 to 60 ml per hour.

Keywords: generalized peritonitis, remaxol, infusion therapy, lactate.

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