RESUMEN
The closed injury of chest with the breaks of edges is the vital problem of traumatology, anesthesiology and resuscitation For the change to conservative treatment with the aid of mechanical ventilation of lungs today come the methods of surgical fixation with the closed injury of chest. The conducted investigation showed the clinical and economic expediency of introducing the method of active surgical tactics.
Asunto(s)
Cuidados Críticos/métodos , Respiración Artificial , Resucitación/métodos , Fracturas de las Costillas/cirugía , Heridas no Penetrantes/cirugía , Adulto , Análisis Costo-Beneficio , Cuidados Críticos/economía , Femenino , Humanos , Masculino , Radiografía , Respiración Artificial/economía , Resucitación/economía , Fracturas de las Costillas/diagnóstico por imagen , Fracturas de las Costillas/economía , Fracturas de las Costillas/mortalidad , Índices de Gravedad del Trauma , Resultado del Tratamiento , Heridas no Penetrantes/diagnóstico por imagen , Heridas no Penetrantes/economía , Heridas no Penetrantes/mortalidadRESUMEN
The article deals with a multicenter study that demonstrates the possibility and feasibility of noninvasive ventilation in patients with skeletal trauma complicated wiith fat embolism syndrome. The authors found additional criteria for the severity of the condition of patients with trauma. Important criteria for the choose a type of ventilation (non-invasive and invasive) is the lack of consciousness, desynchronization of a patient with ventilator and the need for a specialized regimes or miorelaxation to synchronize with the respirator.