CHECHENIN MIKHAIL GENNADEVICH,Чеченин Михаил Геннадьевич,FEDOROV KONSTANTIN KONSTANTINOVICH,Федоров Константин Константинович,ASTRAKOV SERGEJ VIKTOROVICH,Астраков Сергей Викторович
申请号：
RU2013145153/14
公开号：
RU0002531929C1
申请日:
2013.10.08
申请国别(地区):
RU
年份:
2014
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to anaesthesiology and resuscitation, and can be used in intensive care patients suffering from ventilator-associated pneumonia, or where there is a high risk of development thereof. Stabilising haemodynamics is followed by 8 turns of a patients body a day. The cycle is started from 08-00: 3 hours on his/her back, 2 hours on his/her side, 2 hours on the other side, 3 hours on his/her back, 6 hours on his/her stomach, 4 hours on his/her back, 2 hours on his/her side, 2 hours on his/her side. The patients centre of gravity is changed every 2 hours with the patient lying on his/her stomach and back. Propofol is infused at 2-3 mg/kg/hour 20 minutes before the patient is turned on his/her stomach and continued until the patients position is changed again. A nitroglycerin infusion is started 5 minutes after the patient is turned on his/her back in a dose of 0.5-1.0 mcg/kg/min and continues for 5 hours. An antibacterial preparation is intermittently or microfluid single administered 10 min after the patient is turned on the stomach observing other rate of administration of the antibacterial preparation, one of the administrations is performed 10 minutes after the patient is turned on the stomach.EFFECT: method provides effective treatment and/or preventing of ventilator-associated pneumonia by exposing to a gravity factor of regional non-uniform ventilation and pulmonary perfusion, and an excessive hypoxic vasoconstriction.2 cl, 4 tbl, 3 exИзобретение относится к медицине, а именно к анестезиологии и реаниматологии, и может быть использовано у реанимационных пациентов с возникшей вентилятор-ассоциированной пневмонией или имеется высокий риск ее развития. Для этого после стабилизации гемодинамики выполняют 8 поворотов больного в сутки. Цикл начинают с 08-00: 3 часа на спине, 2 часа на боку, 2 часа на другом боку, 3 часа на спине, 6 часов на животе, 4 часа на спине, 2 часа на боку, 2 часа на другом боку. При это
