In order to diagnose the causes of Acute respiratory insufficiency (ARI) conduct a physical and x-ray study of the thorax (identification pneumatic, gidrotoraksa, rib fractures, pneumonia and other violations). It was also an investigation of gaseous composition of blood to determine the extent of hypoxia and hypercapnia. Until further explanation (ARI) categorically forbidden to enter patient medication opium, sedatives or neyrolepticheskogo actions, as well as drugs.
In identifying pneumothorax to treat (ARI) should drenirovat pleura cavity through the introduction of the second line parasternalnoy mezhrebere on silicon rubber or drainage, which connects to the suction valve or underwater. In the cluster of large quantities of fluid in the pleura cavity (or gem-gidrotoraks, empiema oesophagus) by removing its needle puncture through or troakar.
Violations patency upper respiratory tract require immediate inspection of the mouth and the entrance to the larynx through laringoskopa, the release of their contents and foreign body. If the obstacle is located below the entrance to the larynx, to eliminate the need obturatsii bronhoskopiya (preferably with the help fibrobronhoskopa), during which remove solid foreign body from the trachea and bronchi, and if the bronchial system pathological contents (blood, corrupt, mass food) produce rescue , With t.. washing (lavage) bronchi. The use of modern fibrobronhoskopov to allow clearance under the control of individual segments bronchial tree, offers the best curative effect against the backdrop of injection lung ventilation. Washing bronchi (lavage) apply at the impossibility of a simple liposuction contents bronchi, when their lumen are dense mucous-purulent mass (for example, when severe asthmatic condition). Cleaning traheobronhialnogo tree of liquid mucous-Purulent masses can be achieved by liposuction them with a sterile catheter input alternately in right and left through intubatsionnuyu bronchitis or traheostomicheskuyu or tube through the nose (blind). If you can not apply the above activities to restore patency of the respiratory tract and conduct rescue bronchial produce traheostomiyu.
In identifying pneumothorax to treat (ARI) should drenirovat pleura cavity through the introduction of the second line parasternalnoy mezhrebere on silicon rubber or drainage, which connects to the suction valve or underwater. In the cluster of large quantities of fluid in the pleura cavity (or gem-gidrotoraks, empiema oesophagus) by removing its needle puncture through or troakar.
Violations patency upper respiratory tract require immediate inspection of the mouth and the entrance to the larynx through laringoskopa, the release of their contents and foreign body. If the obstacle is located below the entrance to the larynx, to eliminate the need obturatsii bronhoskopiya (preferably with the help fibrobronhoskopa), during which remove solid foreign body from the trachea and bronchi, and if the bronchial system pathological contents (blood, corrupt, mass food) produce rescue , With t.. washing (lavage) bronchi. The use of modern fibrobronhoskopov to allow clearance under the control of individual segments bronchial tree, offers the best curative effect against the backdrop of injection lung ventilation. Washing bronchi (lavage) apply at the impossibility of a simple liposuction contents bronchi, when their lumen are dense mucous-purulent mass (for example, when severe asthmatic condition). Cleaning traheobronhialnogo tree of liquid mucous-Purulent masses can be achieved by liposuction them with a sterile catheter input alternately in right and left through intubatsionnuyu bronchitis or traheostomicheskuyu or tube through the nose (blind). If you can not apply the above activities to restore patency of the respiratory tract and conduct rescue bronchial produce traheostomiyu.
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