7/17/08

The principles of treatment of critical states

The most important in everyday medical practice are matters of critical states treat such as respiratory failure, circulatory insufficiency critical and cardiac arrest, state of shock.
Acute respiratory insufficiency (ARI). The most frequent causes: trauma chest and respiratory, accompanied by rib fractures, pneumatic or gemotoraksom, violation of the provisions of the diaphragm and mobility;
disorders of the central regulation mechanisms of breathing with injuries and brain diseases; violations patency respiratory tract, reducing lung functioning surface with pneumonia or lung atelektaze; circulatory disorder in a small circle (bypass, the development of so-called shock lung, pulmonary thromboembolism branches of arteries, lung edema).
Signs of acute respiratory insufficiency: breathlessness, cyanosis (with no bleeding and anemia), tachycardia, stir, then progressing braked, loss of consciousness, skin moisture, bagrovy their shade, traffic nose wings, supporting the inclusion in breathing muscles. When progressive respiratory insufficiency hypertension replaced hypotension, often develop bradikardiya, arrhythmia, and with the phenomena of cardiovascular failure is death. Resuscitation activities in the terminal phase of ARI ineffective, therefore especially important timely intensive care ARI.

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