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Indications for respiratory support at patients with stroke and nosocomial pneumonia


DOI: http://dx.doi.org/10.18821/0201-7563-2016-61-5-367-372

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Abstract

80 patients with cerebral stroke and nosocomial pneumonia of which formed 2 groups of 40 patients each were included in the study. The groups were matched for severity at the beginning of the study. All patients received comprehensive treatment in the conditions of the neurological intensive care unit in 2011-2015 in the O.M. Filatov clinical city hospital № 15, Moscow. Patients from both groups were transferred on mechanical lung ventilation: group 1 - in the presence of severe clinical picture of respiratory distress and/or depression of consciousness, and group 2 - with deviations from the norm of acid-base status of blood parameters. The results of the study shows the first clinical and laboratory criteria for the transfer patients on mechanical lung ventilation, which are the changes of indicators in blood acid-base status (pH, lactate, glucose, pCO, pO) and the degree of neurological deficit, not the clinical picture in the form of severe respiratoryfailure in patients with cerebral stroke.


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For citation: Nedorostkova T.Yu., Eliseev E.V. Indications for respiratory support at patients with stroke and nosocomial pneumonia. Anesteziologiya i Reanimatologiya (Russian Journal of Anaesthesiology and Reanimatology) 2016; 61(5): 367-372. (In Russ.). DOI: http://dx.doi.org/10.18821/0201-7563-2016-61-5-367-372

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