Respiratory failure in patients with complicated cervical spine injury
Author Affiliations1Tsiv’yan Novosibirsk Research Institute of Traumatology and Orthopedics of Minzdrav of Russia, 630091, Novosibirsk, Frunze str., 17
2Tsiv’yan Novosibirsk Research Institute of Traumatology and Orthopedics of Minzdrav of Russia, 630091, Novosibirsk, Frunze str., 17
3Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsiv’yan of Minzdrav of Russia, 630091, Novosibirsk, Frunze str., 17
4Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsiv’yan of Minzdrav of Russia, 630091, Novosibirsk, Frunze str., 17
Abstract
A retrospective comparative analysis of disease progression of 52 patients with complicated cervical spine injury has been performed. The severity of spinal cord injury was evaluated according to the American Spinal Injury Association and International Medical Society of Paraplegia (ASIA/IMSOP) classification. The following parameters were recorded: respiratory pattern indicators, thoraco-pulmonary compliance, blood gas composition, number of patients requiring prolonged mechanical ventilation, duration of mechanical ventilation, rate of nosocomial pneumonia, and length of stay at the critical and intensive care department. The disease progression in patients with complete spinal cord injury was found to be accompanied by the development of acute respiratory failure of the complex genesis in 70.3 % of cases. Ventilator-associated pneumonia complicated the disease progression in this category of patients in 81.3 % of cases, which required long-term mechanical ventilation in 91.4 % of patients. Severe respiratory failure associated with septic pneumonia led to the unfavorable outcome of the disease in 18.9 % of patients with complete spinal cord injury.
Key words
References
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About Authors (Correspondence):
Pervukhin S.A. – candidate of medical sciences, head of department, e-mal: spervuhin@niito.ru
Lebedeva M.N. – doctor of medical sciences, chief researcher, deputy chief-physician on anesthesia service, e-mail: mlebedeva@niito.ru
Elistratov A.A. – anesthesiologist
Pal`mash A.V. – anesthesiologist
Filichkina E.A. – anesthesiologist
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