7/17/08

Fighting Acute respiratory insufficiency

Fighting Acute respiratory insufficiency (ARI) paresis or paralysis in the gastrointestinal tract, violating the provisions of the diaphragm and mobility probe is in the introduction to evacuate the contents of the stomach and giving the patient upland situation.
Treatment ARI with lung edema detail, see chapter ЂБолезни bodies кровообращенияЂ. In addition to drug therapy is needed kislorodoterapiya and the establishment of a permanent high pressure in the respiratory tract-(RT), high resistance at the end of exhaled (PDKV), which is often effective. Has valves and related devices, in the absence of which use the simplest device to oxygen inhaler or narkozno-contained breathing apparatus. For this hose exhaled placed in a vessel with water to a depth of 5-6 cm, the patient makes breath through a mask of the breathing apparatus of the bag. Breath of semi-conducting system (breath of the apparatus, breath outwards), which requires the flow of gas mixture, slightly exceeding the minute amount of breath.
If acute respiratory distress causes or exacerbates a sharp pain when breathing (chest injury, acute abdominal process), analgesic drugs can be applied only after diagnosis. It must be made blockade intercostals nerves. When implementing novokainovuyu rib fractures blockade place fracture, paravertebral blockade, if damaged, more than 2 ribs - vagosimpaticheskuyu blockade.

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