ИНТЕГРАЛЬНЫЙ ПОКАЗАТЕЛЬ КИСЛОТНО-ЩЕЛОЧНОГО ГОМЕОСТАЗА И ПРОГНОЗ СОСТОЯНИЯ ДЕТЕЙ В ОСТРОМ ПЕРИОДЕ ТЯЖЁЛОЙ МЕХАНИЧЕСКОЙ ТРАВМЫ

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Детская хирургия. Журнал им. Ю.Ф. Исакова. 2018; 22: 228-234

ИНТЕГРАЛЬНЫЙ ПОКАЗАТЕЛЬ КИСЛОТНО-ЩЕЛОЧНОГО ГОМЕОСТАЗА И ПРОГНОЗ СОСТОЯНИЯ ДЕТЕЙ В ОСТРОМ ПЕРИОДЕ ТЯЖЁЛОЙ МЕХАНИЧЕСКОЙ ТРАВМЫ

Амчеславский В. Г., Арсеньев С. Б., Лукьянов В. И., Хмельницкий К. Е., Глебова Е. С.

https://doi.org/10.18821/1560-9510-2018-22-5-228-234

Аннотация

Список литературы

1. Binder S., Corrigan J.D., Langlois J.A. The public health approach to traumatic brain injury: An overview of CDC’s research and programs. J. Head Trauma Rehabil. 2005; 20: 189 - 95.

2. Амчеславский В.Г. Интенсивная терапия при черепно-мозговой и множественной травме у детей. Гл. 31. Неотложная помощь и интенсивная терапия в педиатрии. Под ред. В.В. Лазарева. М.: МЕДпресс-информ; 2014.

3. Гельфанд Б.Р., Заболотских И.Б. Общие вопросы интенсивной терапии. Гл. 1. Национальное руководство. Интенсивная терапия. Краткое издание. 2е изд., перераб. и доп. М.: ГЭОТАР-Медиа; 2017.

4. Сидоров С.В., Лушников А.М., Басаргин Д.Ю. Интрамедуллярный остеосинтез гибкими титановыми стержнями в лечении переломов бедренной кости у детей младшего возраста. Детская хирургия. 2017; 21(2): 98-101.

5. Морозов Д.А., Пименова Е.С., Филиппов Ю.В., Городков С.Ю., Николаев А.В., Масевкин В.Г., Матвеев С.А. Полный травматический разрыв поджелудочной железы с циркулярным разрывом желудка. Детская хирургия. 2015;(1 )51 - 3.

6. Машков А.Е., Сигачев А.В., Щербина В.И., Наливкин А.Е., Пыхтеев Д.А., Филюшкин Ю.Н. Тактика хирургического лечения посттравматического панкреатита у детей 12-16 лет. Детская хирургия. 2016; (1):12 - 6.

7. Langlois J.A., Marr A., Mitchko J., Johnson R.L. Tracking the silent epidemic and educating the public: CDC’s traumatic brain injury-associated activities under the TBI Act of 1996 and the Children’s Health Act of 2000. J. Head Trauma Rehabil., 2005; 20: 196 - 204.

8. Vink R., Nimmo A.J. Multifunctional drugs for head injury. Neurotherapeutics, 2009; 6: 28 - 42.

9. Кешишян P.A. Детский дорожно-транспортный травматизм (проблемы и пути решения). Вопросы современной педиатрии. 2009; 8 (4):18 - 22.

10. Guidelines for the management of severe traumatic brain injury. J. of Neurotrauma 2007; 24 ( 1): S1-06.

11. Strumwasser A., Speer A.L., Inaba K., Branco B.C., et al. The impact of acute coagulopathy on mortality in pediatric trauma patients. Journal of Trauma and Acute Care Surgery. 2016; 81(2):312-8,. doi: 10.1097/TA.0000000000001060.

12. Carteron L., Taccone F.S., Oddo M. How to manage blood pressure after brain injury? Minerva Anestesiologica, 2017; 83(4):. 412 - 21.

13. Kochanek P.M., Carney N., Adelson P.D., Ashwal S., et al. Guidelines for the Acute Medical Management of Severe Traumatic Brain Injury in Infants, Children, and Adolescents-Second Edition. Pediatric Critical Care Medicine: 2012; 13: S1-82. doi: 10.1097/PCC.0b013e31823f435c.

14. Acker S.N., Ross J.T., Partrick D.A., Tong S., Bensard D.D. Pediatric specific shock index accurately identifies severely injured children. J. Pediatr Surg. 2015;50(2):331-4. doi: 10.1016/j.jpedsurg. 2014.08.009. Epub 2014 Oct 1.

15. McFadyen J.G., Ramaiah R., and Bhananker S.M. Initial assessment and management of pediatric trauma patients. Int. J. Crit. Illn. Inj. Sci. 2012; 2 (3) : 121-7. doi: 10.4103/2229-5151.100888.

16. Wesson D.E., Naik-Mathuria B. Pediatric Trauma: Pathophysiology, Diagnosis, and Treatment, Second Edition. CRC Press, 2017.

17. H. Young A.M., Donnelly J., Czosnyka M., Jalloh I., et al. Continuous Multimodality Monitoring in Children after Traumatic Brain Injury. Preliminary Experience. PLOS ONE | DOI:10.1371/journal.pone.0148817 March 15, 2016, pp. 1 -11.

18. Kirkman M.A., Smith M. Intracranial pressure monitoring, cerebral perfusion pressure estimation, and ICP/CPP - guided therapy: a standard of care or optional extra after brain injury? Br. J. Anaesth. 2014; 112 (1) : 35 - 46. doi: 10.1093/bja/aet418.

19. Sabzghabaei A., Shojaee M., Kariman H., Manouchehrifar M., et al. Pan vs. Selective Computed Tomography Scans in Management of Multiple Trauma Patients; a Brief Report. Emergency. 2017; 5 (1): e38: 1 - 5.

20. Scaife E.R., Fenton S.J., Hansen K.W., Metzger R.R. Use of focused abdominal sonography for trauma at pediatric and adult trauma centers: A survey. J. Pediatr. Surg. 2009; 44:1746-9.

21. Лазарев В.В. Нарушения кислотно-основного состояния. Гл. 3. Неотложная помощь и интенсивная терапия в педиатрии.М.: МЕДпресс-информ; 2014.

22. Свиридов С.В., Малышев В.Д. Нарушения метаболизма, водно-электролитного баланса и кислотно-основного состояния. Интенсивная терапия. Национальное руководство. Под ред. Гельфанда Б.Р., И.Б. Заболотских. -2-е изд., перераб. и доп. М. : ГЭОТАР-Медиа, 2017.

23. Григоренко Е.А., Амчеславский В.Г., Арсеньев С.Б., Мишулина О.А. Интегральный показатель кислотно-щелочного состояния крови для оценки состояния пациентов с черепно-мозговой травмой. Медицинский алфавит. 2014;5 (221):37 - 41.

24. Browne L.R., Keeney G.E., et al. Trauma Care for Children in the Field. Clinical Pediatric Emergency Medicine 2014; 5: 38 - 48.

25. Guice K.S., Cassidy L.D., Oldham K.T. Traumatic injury and children: a national assessment. J. Trauma. 2007;63 ( 6) : 68 - 80.

26. Cassidy L.D., Cook A., Gourlay D., Osler T. Is the Trauma Mortality Prediction Model (TMPM-ICD-9) a valid predictor of mortality in pediatric trauma patients? J. of Pediatric Surgery. 2014; 49 (1):189-92.

27. Александрович Ю.С. Оценочные и прогностические шкалы в медицине критических состояний. Под ред. Ю.С. Александрович, В.И. Гордеев. - 3-е изд., дополн. И исправл. СПб. : ЭЛБИ-СПб, 2015.

28. Leteurtre S., Duhamel A., Deken V., Lacroix J., et al. Daily estimation of the severity of organ dysfunctions in critically ill children by using the PELOD-2 score. Crit Care. 2015; 15; 19: 324. doi: 10.1186/s13054-015-1054-y.

Russian Journal of Pediatric Surgery. 2018; 22: 228-234

INTEGRAL INDEX OF ACID-BASE HOMEOSTASIS AND FORECAST OF STATUS OF CHILDREN IN ACUTE PERIOD OF HEAVY MECHANICAL TRAUMA

Amcheslavskiy V. G., Arsenev S. B., Lukyanov V. I., Khmelnitsky K. E., Glebova E. S.

https://doi.org/10.18821/1560-9510-2018-22-5-228-234

Abstract

Introduction. The management of children in the acute period of severe mechanical trauma (SMT) requires multi-parameter monitoring, a constant assessment of the severity of the condition and the adequacy of intensive care. The abundance of heterogeneous information about the patient determines the need for the development of integrated indices, enabling the rapid assessment of the status and prognosis of the course of the traumatic disease. The assessment of the acid-base state (ABS) of the blood is one of the day-to-day components of multi-parameter monitoring. The aim of the study was to determine the effectiveness and validity of the integral homeostasis index (IHI) obtained on the basis of the results of the ABS testing, for assessing the clinical state, its dynamics and determination the prognosis of the outcome of an acute period of trauma in children. Material and methods. The study included 345 SMT patients. The determination of ABS indices with the automatic calculation of the IHI was routinely performed 2 or more times a day. The obtained values of IHI were expertly compared with the assessment of the severity of the condition and the dynamics of this evaluation in the acute period of the traumatic illness. Results. The study demonstrated 97% accuracy in the determination of the prognosis of the course of the traumatic disease and 93% coincidence with an expert assessment of the severity of the patient’s condition. The results obtained make it possible to recommend the use of IHI for the practical use in the department of anesthesiology and resuscitation under the conditions of a unified information system combining databases (an electronic medical history, a laboratory information system, and a prognostic status and outcome module integrated in the information system and operating in a continuous mode).

References

1. Binder S., Corrigan J.D., Langlois J.A. The public health approach to traumatic brain injury: An overview of CDC’s research and programs. J. Head Trauma Rehabil. 2005; 20: 189 - 95.

2. Amcheslavskii V.G. Intensivnaya terapiya pri cherepno-mozgovoi i mnozhestvennoi travme u detei. Gl. 31. Neotlozhnaya pomoshch' i intensivnaya terapiya v pediatrii. Pod red. V.V. Lazareva. M.: MEDpress-inform; 2014.

3. Gel'fand B.R., Zabolotskikh I.B. Obshchie voprosy intensivnoi terapii. Gl. 1. Natsional'noe rukovodstvo. Intensivnaya terapiya. Kratkoe izdanie. 2e izd., pererab. i dop. M.: GEOTAR-Media; 2017.

4. Sidorov S.V., Lushnikov A.M., Basargin D.Yu. Intramedullyarnyi osteosintez gibkimi titanovymi sterzhnyami v lechenii perelomov bedrennoi kosti u detei mladshego vozrasta. Detskaya khirurgiya. 2017; 21(2): 98-101.

5. Morozov D.A., Pimenova E.S., Filippov Yu.V., Gorodkov S.Yu., Nikolaev A.V., Masevkin V.G., Matveev S.A. Polnyi travmaticheskii razryv podzheludochnoi zhelezy s tsirkulyarnym razryvom zheludka. Detskaya khirurgiya. 2015;(1 )51 - 3.

6. Mashkov A.E., Sigachev A.V., Shcherbina V.I., Nalivkin A.E., Pykhteev D.A., Filyushkin Yu.N. Taktika khirurgicheskogo lecheniya posttravmaticheskogo pankreatita u detei 12-16 let. Detskaya khirurgiya. 2016; (1):12 - 6.

8. Vink R., Nimmo A.J. Multifunctional drugs for head injury. Neurotherapeutics, 2009; 6: 28 - 42.

9. Keshishyan P.A. Detskii dorozhno-transportnyi travmatizm (problemy i puti resheniya). Voprosy sovremennoi pediatrii. 2009; 8 (4):18 - 22.

10. Guidelines for the management of severe traumatic brain injury. J. of Neurotrauma 2007; 24 ( 1): S1-06.

12. Carteron L., Taccone F.S., Oddo M. How to manage blood pressure after brain injury? Minerva Anestesiologica, 2017; 83(4):. 412 - 21.

15. McFadyen J.G., Ramaiah R., and Bhananker S.M. Initial assessment and management of pediatric trauma patients. Int. J. Crit. Illn. Inj. Sci. 2012; 2 (3) : 121-7. doi: 10.4103/2229-5151.100888.

16. Wesson D.E., Naik-Mathuria B. Pediatric Trauma: Pathophysiology, Diagnosis, and Treatment, Second Edition. CRC Press, 2017.

20. Scaife E.R., Fenton S.J., Hansen K.W., Metzger R.R. Use of focused abdominal sonography for trauma at pediatric and adult trauma centers: A survey. J. Pediatr. Surg. 2009; 44:1746-9.

21. Lazarev V.V. Narusheniya kislotno-osnovnogo sostoyaniya. Gl. 3. Neotlozhnaya pomoshch' i intensivnaya terapiya v pediatrii.M.: MEDpress-inform; 2014.

22. Sviridov S.V., Malyshev V.D. Narusheniya metabolizma, vodno-elektrolitnogo balansa i kislotno-osnovnogo sostoyaniya. Intensivnaya terapiya. Natsional'noe rukovodstvo. Pod red. Gel'fanda B.R., I.B. Zabolotskikh. -2-e izd., pererab. i dop. M. : GEOTAR-Media, 2017.

23. Grigorenko E.A., Amcheslavskii V.G., Arsen'ev S.B., Mishulina O.A. Integral'nyi pokazatel' kislotno-shchelochnogo sostoyaniya krovi dlya otsenki sostoyaniya patsientov s cherepno-mozgovoi travmoi. Meditsinskii alfavit. 2014;5 (221):37 - 41.

24. Browne L.R., Keeney G.E., et al. Trauma Care for Children in the Field. Clinical Pediatric Emergency Medicine 2014; 5: 38 - 48.

25. Guice K.S., Cassidy L.D., Oldham K.T. Traumatic injury and children: a national assessment. J. Trauma. 2007;63 ( 6) : 68 - 80.

27. Aleksandrovich Yu.S. Otsenochnye i prognosticheskie shkaly v meditsine kriticheskikh sostoyanii. Pod red. Yu.S. Aleksandrovich, V.I. Gordeev. - 3-e izd., dopoln. I ispravl. SPb. : ELBI-SPb, 2015.

ИНТЕГРАЛЬНЫЙ ПОКАЗАТЕЛЬ КИСЛОТНО-ЩЕЛОЧНОГО ГОМЕОСТАЗА И ПРОГНОЗ СОСТОЯНИЯ ДЕТЕЙ В ОСТРОМ ПЕРИОДЕ ТЯЖЁЛОЙ МЕХАНИЧЕСКОЙ ТРАВМЫ

Аннотация

INTEGRAL INDEX OF ACID-BASE HOMEOSTASIS AND FORECAST OF STATUS OF CHILDREN IN ACUTE PERIOD OF HEAVY MECHANICAL TRAUMA

Abstract

События

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