A STUDY OF THE EFFECTIVENESS OF DIFFERENT METHODS OF ANESTHESIA IN VICTIMS OF ROAD TRAFFIC ACCIDENTS WITH THORACOABDOMINAL TRAUMA IN PRE-HOSPITAL AND HOSPITAL PERIODS

Author:

Miroshnichenko A. G.1,Rakhmanov R. M.2,Bolshakova М. A.2,Popov A. A.3,Popova E. A.3,Lyubchenko А. A.4,Rakhmanova E. A.5,Shamov D. S.6,Habarova О. I.7,Mamedov R A.7

Affiliation:

1. North-W estern State Medical University named after I. I. Mechnikov; St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine

2. Krasnoyarsk State Medical University named after prof. V. F. Voyno-Yasenetsky, Ministry of Health of Russia; Krasnoyarsk Interdistrict Clinical Emergency Hospital named after N. S. Karpovich

3. Krasnoyarsk State Medical University named after prof. V. F. Voyno-Yasenetsky, Ministry of Health of Russia; Khakass State University named after N. F. Katanova

4. Krasnoyarsk State Medical University named after prof. V. F. Voyno-Y asenetsky, Ministry of Health of Russia

5. Krasnoyarsk State Medical University named after prof. V. F. Voyno-Y asenetsky, Ministry of Health of Russia; Krasnoyarsk Interdistrict Clinical Emergency Hospital named after N. S. Karpovich

6. Krasnoyarsk Interdistrict Clinical Emergency Hospital named after N. S. Karpovich; Khakass State University named after N. F. Katanova

7. Khakass State University named after N. F. Katanova

Abstract

A study was conducted in 149 patients with diagnoses of thoracoabdominal trauma. In order to objectify the severity of the patients’ condition, a visual analog scale was used. To assess the state of the function of the autonomic nervous system in patients of the comparison group and the main group after the therapy, an analysis of heart rate variability was performed during the day. The combined use of dalargin, a narcotic analgesic and a non-steroidal anti-inflammatory drug, provided good analgesia, neurovegetative protection, when examined in the emergency room, the victims of the main group were in contact, which contributed to a more thorough collection of complaints, anamnesis and examination of the patient. 

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Reference8 articles.

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2. Callcut R.A., Wakam G., Conroy A. S. et al. Discovering the truth about life after discharge: long-term traumarelated mortality // Journal of Trauma and Acute Care Surgery. 2016. Vol. 80, No 2. Р. 210–217.

3. Martel M.O., Wasan A. D., Jamison R. N., Edwards R. R. Catastrophic thinking and increased risk for prescription opioid misuse in patients with chronic pain // Drug and Alcohol Dependence. 2013. Vol. 132, No 1–2. Р. 335–341.

4. Plakhotnikov A. V., Chikun V. I., Zhukov D. V. et al. Analysis of road traffic accidents with a fatal outcome in the city of Krasnoyarsk and its suburbs according to the data of the Krasnoyarsk Regional Bureau of Forensic Medical Expertise for 2014–2015. Siberian Medical Review, 2017, No 4, pр. 19–23 (In Russ.).

5. Miroshnichenko A. G., Bolshakova M. A., Rakhmanov R. M. et al. Prospects for the use of the scale for assessing the severity of patients with isolated and combined trauma by an anesthesiologist- resuscitator in the anti-shock hall of the reception and diagnostic department. Emergency medical services, 2019, Vol. 20, No 4, рр. 44–50 (In Russ.). Order of the Ministry of Health of the Russian Federation of December 24, 2012, No 1445n “On the approval of the standard of emergency medical care in shock” [Electronic resource] (In Russ.). https://www.rosminzdrav.ru/documents/8646-prikaz-m inisterstvazdravoohraneniya-r ossiyskoy-federatsii-ot-24-dekabrya-2012-g-1445n-ob-utverzhdenii-s tandarta-skoroy- meditsinskoy-pomoschi-pri-shoke.

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