Non-invasive Ventilation During Sanitary Aircraft Evacuation in a Patient with Severe Community-acquired Pneumonia
https://doi.org/10.23934/2223-9022-2019-8-2-203-208
Abstract
We report the experience of sanitary aviation evacuation of a patient with severe respiratory failure on the background of community-acquired pneumonia using mask non-invasive ventilation. The use of this method of ventilation of the lungs made it possible to avoid undesirable consequences arising from the transfer of the patient to artificial ventilation of the lungs and to transport him safely to a specialized medical institution in order to continue treatment. The described method of preparing a patient with respiratory failure before aviation transportation has shown its effectiveness during the flight and may be recommended for use by airmobile crews when carrying out long-distance evacuation
About the Authors
A. V. Shchyogolev
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
Aleksey V. Shchyogolev - Dr. Med. Sci., Professor, Head of the Department of Anesthesiology and Resuscitation.
6 Akademika Lebedeva St., Saint-Petersburg 194044
K. S. Vorobyov
N.N. Burdenko Main Clinical Hospital
Russian Federation
Russian Federation
Vladimir S. Vorobyov - senior physician of the Department of Surgery (air mobile).
3 Gospitalnaya Square, Moscow 105094
V. V. Shustrov
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
Vyacheslav V. Shustrov - Postgraduate at the Department of Anesthesiology and Resuscitation.
6 Akademika Lebedeva St., Saint-Petersburg 194044
R. Y. Lakhin
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
Roman Y. Lakhin - Dr. Med. Sci., Docent, Proffesor at the Department of Anesthesiology and Resuscitation.
6 Akademika Lebedeva St., Saint-Petersburg 194044
References
1. Arkhangel’skiy D.A., Zakrevskiy Yu.N., Barachevskiy Yu. E. Questions of nothern fleet military men’s evacuation with hard out hospital-acquired pneumonia in the artic zone of russian federation. Sovremennaya meditsina: aktual’nye voprosy. 2016; 54-55: 153-161. (In Russian).
2. Shchegolev A.V., Shelukhin D.A., Ershov E.N., et al. Evacuation of patients with respiratory failure on extracorporeal membrane oxygenation. Anesteziologiya i reanimatologiya. 2017; 62 (1): 32-35. DOI: 10.18821/0201-7563-2017-62-1-32-35. (In Russian).
3. Guide to aviation medicine. 3rd edition. IKAO Publ. 2012; 650p. (In Russian).
4. Goncharov S.F., Fisun A.Ya., Shchegolev A.V., et al. The use of telemedicine in the organization and provision of medical care to patients in critical conditions. Vestnik Rossiyskoy voenno-meditsinskoy akademii. 2018; 4(64): 227-231. (In Russian).
5. Clinical guidelines for the use of non-invasive ventilation in acute respiratory failure. Pul’monologiya. 2018; 28(1): 13-31. DOI: 10.18093/0869-0189-2018-28-1-13-31. (In Russian).
6. Gritsan A. I., Yaroshetskiy A.I., Vlasenko A.V., et al. Diagnostics and intensive therapy of acute respiratory distress syndrome. FAR’s clinical guidelines. Anesteziologiya i reanimatologiya. 2016; 61 (1): 62-70. DOI: 10.18821/0201-7563-2016-61-1-62-70. (In Russian).
7. Satishur, O. E. Mechanical lung ventilation. Moscow: Med. Lit. Publ., 2017. 352 p. (In Russian).
8. Ovchinnikov Yu. V., Zaytsev A. A., Sinopal’nikov A. I. Diagnosis, treatment and vaccination of community-acquired pneumonia in military personnel. 2016. (In Russian).
9. Polushin Yu. S., Khrapov K. N., Vartanova I. V. Noninvasive ventilation in intensive care. Anesteziologiya i reanimatologiya. 2005; (4): 74-79. (In Russian).
10. Moroz V. V., Marchenkov Yu. V., Kuzovlev A. N. Non-invasive mask ventilation in acute respiratory failure. Moscow. OOO Reglet Publ., 2013. 21 p. (In Russian).
11. Chuchalin A.G., Sinopal’nikov A.I., Kozlov R.S., et al. Russian Respiratory Society (RRO) the Interregional Association for Clinical Microbiology and Antimicrobial Chemotherapy (IACMAC) Clinical practice guidelines for diagnosis, treatment and prevention of severe community-acquired pneumonia in adults. Pul’monologiya. 2014; (4): 13-48. DOI: 10.18093/0869-0189-2014-0-4-13-48. (In Russian).
Review
For citations:
Shchyogolev A.V., Vorobyov K.S., Shustrov V.V., Lakhin R.Y. Non-invasive Ventilation During Sanitary Aircraft Evacuation in a Patient with Severe Community-acquired Pneumonia. Russian Sklifosovsky Journal "Emergency Medical Care". 2019;8(2):203-208. https://doi.org/10.23934/2223-9022-2019-8-2-203-208
Views:
892
Email this article 