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EMERGENCY AND INTENSIVE CRITICAL CARE (121 journals)                     

Showing 1 - 124 of 124 Journals sorted alphabetically
AACN Advanced Critical Care     Full-text available via subscription   (Followers: 36)
Academic Emergency Medicine     Hybrid Journal   (Followers: 90)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 1)
Acute and Critical Care     Open Access   (Followers: 9)
Acute Cardiac Care     Hybrid Journal   (Followers: 11)
Acute Medicine     Full-text available via subscription   (Followers: 8)
Advances in Emergency Medicine     Open Access   (Followers: 16)
Advances in Neonatal Care     Hybrid Journal   (Followers: 43)
African Journal of Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 7)
African Journal of Emergency Medicine     Open Access   (Followers: 7)
AINS - Anasthesiologie - Intensivmedizin - Notfallmedizin - Schmerztherapie     Hybrid Journal   (Followers: 5)
American Journal of Emergency Medicine     Hybrid Journal   (Followers: 54)
Annals of Emergency Medicine     Hybrid Journal   (Followers: 126)
Annals of Intensive Care     Open Access   (Followers: 37)
Annals of the American Thoracic Society     Full-text available via subscription   (Followers: 15)
Archives of Academic Emergency Medicine     Open Access   (Followers: 6)
Archives of Trauma Research     Open Access   (Followers: 4)
ASAIO Journal     Hybrid Journal   (Followers: 2)
Australasian Journal of Paramedicine     Open Access   (Followers: 7)
Australian Critical Care     Full-text available via subscription   (Followers: 21)
Bangladesh Critical Care Journal     Open Access   (Followers: 1)
BMC Emergency Medicine     Open Access   (Followers: 25)
BMJ Quality & Safety     Hybrid Journal   (Followers: 65)
Burns Open     Open Access  
Canadian Journal of Respiratory, Critical Care, and Sleep Medicine     Hybrid Journal   (Followers: 2)
Case Reports in Acute Medicine     Open Access   (Followers: 3)
Case Reports in Critical Care     Open Access   (Followers: 13)
Case Reports in Emergency Medicine     Open Access   (Followers: 19)
Chronic Wound Care Management and Research     Open Access   (Followers: 7)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 32)
Clinical Intensive Care     Hybrid Journal   (Followers: 6)
Clinical Medicine Insights : Trauma and Intensive Medicine     Open Access   (Followers: 3)
Clinical Risk     Hybrid Journal   (Followers: 5)
Crisis: The Journal of Crisis Intervention and Suicide Prevention     Hybrid Journal   (Followers: 15)
Critical Care     Open Access   (Followers: 74)
Critical Care and Resuscitation     Full-text available via subscription   (Followers: 29)
Critical Care Clinics     Full-text available via subscription   (Followers: 34)
Critical Care Explorations     Open Access   (Followers: 3)
Critical Care Medicine     Hybrid Journal   (Followers: 281)
Critical Care Research and Practice     Open Access   (Followers: 13)
Current Emergency and Hospital Medicine Reports     Hybrid Journal   (Followers: 5)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 73)
Disaster and Emergency Medicine Journal     Open Access   (Followers: 12)
Egyptian Journal of Critical Care Medicine     Open Access   (Followers: 2)
EMC - Urgenze     Full-text available via subscription  
Emergency Care Journal     Open Access   (Followers: 7)
Emergency Medicine (Medicina neotložnyh sostoânij)     Open Access  
Emergency Medicine Australasia     Hybrid Journal   (Followers: 17)
Emergency Medicine Clinics of North America     Full-text available via subscription   (Followers: 19)
Emergency Medicine International     Open Access   (Followers: 8)
Emergency Medicine Journal     Hybrid Journal   (Followers: 53)
Emergency Medicine News     Full-text available via subscription   (Followers: 7)
Emergency Nurse     Full-text available via subscription   (Followers: 17)
Enfermería Intensiva (English ed.)     Full-text available via subscription  
European Burn Journal     Open Access   (Followers: 10)
European Journal of Emergency Medicine     Hybrid Journal   (Followers: 23)
Frontiers in Emergency Medicine     Open Access   (Followers: 8)
Global Journal of Transfusion Medicine     Open Access   (Followers: 1)
Hong Kong Journal of Emergency Medicine     Full-text available via subscription   (Followers: 5)
Indian Journal of Burns     Open Access   (Followers: 2)
Injury     Hybrid Journal   (Followers: 20)
Intensive Care Medicine     Hybrid Journal   (Followers: 82)
Intensive Care Medicine Experimental     Open Access   (Followers: 2)
Intensivmedizin up2date     Hybrid Journal   (Followers: 4)
International Journal of Critical Illness and Injury Science     Open Access   (Followers: 1)
International Journal of Emergency Medicine     Open Access   (Followers: 9)
International Journal of Emergency Mental Health and Human Resilience     Open Access   (Followers: 2)
International Paramedic Practice     Full-text available via subscription   (Followers: 14)
Iranian Journal of Emergency Medicine     Open Access  
Irish Journal of Paramedicine     Open Access   (Followers: 2)
Journal Européen des Urgences et de Réanimation     Hybrid Journal   (Followers: 1)
Journal of Acute Care Physical Therapy     Hybrid Journal   (Followers: 3)
Journal of Cardiac Critical Care TSS     Open Access   (Followers: 1)
Journal Of Cardiovascular Emergencies     Open Access  
Journal of Concussion     Open Access  
Journal of Critical Care     Hybrid Journal   (Followers: 48)
Journal of Critical Care Medicine     Open Access   (Followers: 18)
Journal of Education and Teaching in Emergency Medicine     Open Access   (Followers: 1)
Journal of Emergencies, Trauma and Shock     Open Access   (Followers: 13)
Journal of Emergency Medical Services     Full-text available via subscription   (Followers: 12)
Journal of Emergency Medicine     Hybrid Journal   (Followers: 53)
Journal of Emergency Medicine, Trauma and Acute Care     Open Access   (Followers: 25)
Journal of Emergency Practice and Trauma     Open Access   (Followers: 6)
Journal of Intensive Care     Open Access   (Followers: 9)
Journal of Intensive Care Medicine     Hybrid Journal   (Followers: 22)
Journal of Intensive Medicine     Open Access  
Journal of Neuroanaesthesiology and Critical Care     Open Access   (Followers: 3)
Journal of Stroke Medicine     Hybrid Journal  
Journal of the American College of Emergency Physicians Open     Open Access   (Followers: 1)
Journal of the Intensive Care Society     Hybrid Journal   (Followers: 4)
Journal of the Royal Army Medical Corps     Hybrid Journal   (Followers: 6)
Journal of Thrombosis and Haemostasis     Hybrid Journal   (Followers: 81)
Journal of Translational Critical Care Medicine     Open Access   (Followers: 6)
Journal of Trauma and Acute Care Surgery, The     Hybrid Journal   (Followers: 34)
La Presse Médicale Open     Open Access  
Médecine de Catastrophe - Urgences Collectives     Hybrid Journal  
Medicina Intensiva     Open Access   (Followers: 3)
Medicina Intensiva (English Edition)     Hybrid Journal   (Followers: 1)
Mediterranean Journal of Emergency Medicine & Acute Care : MedJEM     Open Access  
Notfall + Rettungsmedizin     Hybrid Journal   (Followers: 3)
OA Critical Care     Open Access   (Followers: 3)
OA Emergency Medicine     Open Access   (Followers: 2)
Open Access Emergency Medicine     Open Access   (Followers: 6)
Open Journal of Emergency Medicine     Open Access   (Followers: 2)
Palliative Care : Research and Treatment     Open Access   (Followers: 19)
Palliative Medicine     Hybrid Journal   (Followers: 54)
Prehospital Emergency Care     Hybrid Journal   (Followers: 19)
Regulatory Toxicology and Pharmacology     Hybrid Journal   (Followers: 41)
Research and Opinion in Anesthesia and Intensive Care     Open Access   (Followers: 3)
Resuscitation     Hybrid Journal   (Followers: 54)
Resuscitation Plus     Open Access   (Followers: 2)
Saudi Critical Care Journal     Open Access   (Followers: 2)
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine     Open Access   (Followers: 11)
Seminars in Thrombosis and Hemostasis     Hybrid Journal   (Followers: 46)
Shock : Injury, Inflammation, and Sepsis : Laboratory and Clinical Approaches     Hybrid Journal   (Followers: 10)
Sklifosovsky Journal Emergency Medical Care     Open Access  
The Journal of Trauma Injury Infection and Critical Care     Full-text available via subscription   (Followers: 24)
Therapeutics and Clinical Risk Management     Open Access   (Followers: 2)
Transplant Research and Risk Management     Open Access  
Trauma Case Reports     Open Access   (Followers: 1)
Trauma Monthly     Open Access   (Followers: 3)
Visual Journal of Emergency Medicine     Full-text available via subscription   (Followers: 1)
Western Journal of Emergency Medicine     Open Access   (Followers: 11)
 AEM Education and Training : A Global Journal of Emergency Care     Open Access   (Followers: 1)

           

Similar Journals
Journal Cover
Emergency Medicine (Medicina neotložnyh sostoânij)
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2307-1230 - ISSN (Online) 2224-0586
Published by Publishing House Zaslavsky Homepage  [9 journals]
  • Appeal of editor-in-chief

    • Authors: V.V. Nikonov
      Pages: 5 - 5
      Abstract: No abstract
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1482
      Issue No: Vol. 18, No. 3 (2022)
       
  • Features of emergency dental care and anesthesia in people with
           methamphetamine dependence (literature review)

    • Authors: V.V. Yekhalov, O.V. Kravets, I.A. Romanyuta, V.A. Sedinkin
      Pages: 6 - 13
      Abstract: At present, the number of methamphetamine consu­mers all over the world is at least 51 million people. The percen­tage of drug addiction treatment hospital admissions in the United States due to primary methamphetamine use is growing exponentially. Based on the results of a study by the National Institute on Drug Abuse (USA), it was found that the use of methamphetamine has a significant destructive effect on the health of the mouth and teeth. The supervision of such dental patients is clinically a problem due to delayed visits and inadequate response of the body to anesthetic drugs.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1483
      Issue No: Vol. 18, No. 3 (2022)
       
  • Clinical and histo-pathophysiological features of diffused alveolar
           lesions (pneumonia) caused by SARS-CoV-2 in patients who need of
           respiratory support

    • Authors: E.M. Khodosh, I.V. Ivakhno
      Pages: 14 - 21
      Abstract: Acute respiratory distress syndrome (ARDS) and respiratory failure are the main problems in patients with COVID-19. The main reason is primarily a violation of lung perfusion. Anatomical prerequisites for the work of PЕЕР (non-cardiogenic pulmonary edema, atelectasis and, consequently, the possibility of recruitment) are absent. Non-invasive lung ventilation can eliminate hypoxemia and reduce inspiratory effort. Otherwise, the use of mechanical ventilation to prevent self-induced lung injury should be considered. These characteristics are associated with a marked violation of the mechanics of respiration, high blood pressure of arterial carbon dioxide. The leading characteristic of COVID-19 progression is the gradual transition from edema or atelectasis to less reversible structural changes in the lungs, namely fibrosis. The mechanics of respiration are disturbed, the pressure of carbon dioxide in the arterial blood increases, the ability of the respiratory muscles decreases and there is no reaction to PЕEP in the abdominal position.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1484
      Issue No: Vol. 18, No. 3 (2022)
       
  • Current approaches to perioperative management of patients with inguinal
           hernias (literature review)

    • Authors: Z.O. Ushnevych, N.V. Matolinets, V.V. Khomyak
      Pages: 22 - 27
      Abstract: The article provides literature review on current approaches to perioperative treatment of patients with inguinal hernias based on the principles of enhanced recovery after surgery (ERAS). The ERAS algorithm includes all evidence-based perioperative elements that affect rapid recovery after surgery, reduce the incidence of complications and potential mortality. There are three stages of patient management: preoperative examination, selection of an adequate method of surgical treatment, anesthesia during surgery and in the postoperative period. Thorough examination of patients before surgery and identification of potential risk factors associated with comorbidities are important to reduce the risk of morbidity and recurrences. Effective dynamic perioperative pain management is a prerequisite for optimal recovery after surgery. The first step in ma­naging pain under the ERAS concept is choosing the correct type of surgery. Preference should be given to the least traumatic ope­rations, i.e. laparoscopic or endoscopic hernioplasty. According to PROSPECT recommendations, analgesics should be started before and continued during surgery, which will provide adequate analgesia in the early postoperative period. The combination of paracetamol, nonsteroidal anti-inflammatory drugs and a selective cyclooxyge­nase-2 inhibitor provides good analgesia and reduces opioid use. The transverse abdominal block (TAP block), as a type of regional anesthesia, is safe for patients with inguinal hernias, reduces the postoperative need for narcotic analgesics, reduces the frequency of postoperative nausea and vomiting and pain intensity. Regional anesthesia reduces the length of a patient’s stay in the operating room and is associated with a lower risk of urinary retention in the postoperative period (compared to neuroaxial anesthesia). After the operation patient should be activated as soon as possible, and this is possible under conditions of sufficient analgesia, which is best achieved by combining systemic analgesics and TAP block. Antimicrobial prophylaxis should be performed in all patients undergoing elective surgery for inguinal hernias. Since some patients experience significant limitations in daily activities due to chronic postoperative inguinal pain, it is necessary to consider all risk factors for chronic pain after surgery to prevent its development.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1485
      Issue No: Vol. 18, No. 3 (2022)
       
  • Carbon gas poisoning

    • Authors: V.S. Tkachyshyn
      Pages: 28 - 30
      Abstract: Carbon monoxide belongs to a group of blood poisons that cause pathological changes in blood pigments. Carbon monoxi­de readily combines with hemoglobin iron to form carboxyhemoglobin. Carboxyhemoglobin is a strong compound and its dissociation is much slower than oxyhemoglobin. There is a violation of the oxygenation of hemoglobin, which causes the development of hemic hypoxia. The pathological process is exacerbated by the fact that the dissociation of oxyhemoglobin in the presence of carboxyhemoglobin in the blood is slowed down. Prolonged hypo­xemia is a leading factor in the mechanism of development of lesions of the nervous system in intoxications caused by carbon mono­xide. Carbon monoxi­de intoxication can be acute or chronic. Acute intoxications are cha­racterized by changes in the blood, nervous, respiratory and cardiovascular systems, trophic skin lesions. There are mild, moderate and severe acute intoxication caused by carbon monoxide. Chronic intoxication develops with prolonged exposure to low concentrations of carbon monoxide, and may be the result of frequent acute carbon monoxide intoxication. The criterion for confirming the diagnosis of acute intoxication is the presence of elevated carboxyhemoglobin in the blood. Diagnostic value in chronic intoxication has an increased content of non-hemoglobin iron in plasma. The complex of therapeutic measures for acute intoxication includes fercoven and acisol. The main measures to prevent the development of carbon monoxide intoxication are sealing the processes associated with its formation, preventing the possible penetration of carbon monoxide into the workplace, providing effective ventilation.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1486
      Issue No: Vol. 18, No. 3 (2022)
       
  • Poisoning of amino- and nitrocompounds of benzene in occupational
           pathology

    • Authors: V.S. Tkachyshyn
      Pages: 31 - 35
      Abstract: Amino- and nitrocompounds of benzene belong to the group of blood poisons. They lead to the formation of pathological hemoglobin compounds in the blood. Methemoglobin is formed during poisoning of amino- and nitrocompounds of benzene. In severe cases of poisoning there is an irreversible compound — sulfhemoglobin. Depending on the concentration and duration of contact, the amino- and nitrocompounds of benzene cause acute and chronic intoxication. Acute intoxication with these substances leads mainly to the formation of methemoglobin, secondary hemolytic anemia, damage to the central nervous system. When exposed to amino- and nitrocompounds of benzene, there are also signs of damage to the peripheral nervous system, liver, urinary tract, visual organ, skin and mucous membranes of the respiratory tract. Chronic intoxications with amino- and nitrocompounds of benzene lead to damage to the nervous system, parenchymal organs, mainly the liver, urinary tract, organ of vision. In chronic lesions, these compounds are carcinogenic. Bladder cancer is occurs. The antidote for poisoning by these substances is methylene blue, which is administered in 10–20 ml of 1% solution intravenously. Intravenous administration of 20–30 ml of 40% glucose solution is important. Oxygen therapy is also performed. In case of acute renal failure, hemodialysis or peritoneal dialysis is performed. Profilaxis is important to prevent poisoning.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1487
      Issue No: Vol. 18, No. 3 (2022)
       
  • Thromboembolic complications in patients with acute surgical pathology
           with coronavirus infection of COVID-19

    • Authors: V.V. Boyko, V.M. Likhman, O.M. Shevchenko, O.Y. Tkachuk, A.O. Merkulov, E.O. Belodyd, K.V. Ponomarova
      Pages: 36 - 39
      Abstract: Background. Coronavirus disease (COVID-19) is a highly contagious infection, the etiological factor of which is the SARS-CoV2 virus. In COVID-19, hemostasis disorders vary widely: from latent hypercoagulation, which occurs only on the basis of laboratory tests, to severe clinical manifestations in the form of cerebral, coronary arterial or venous thrombosis complicated by pulmonary embolism. The purpose was to study of clinical manifestations of hemostasis disorders according to laboratory studies. Materials and methods. The observation data of 96 patients who were treated for surgical pathology and in whom COVID-19 was detec­ted are presented. Patients were hospitalized in the intensive care unit, thrombotic complications were detected in 37 %. Both venous (64 %) and arterial (36 %) thrombosis occurred. Results. According to a survey of patients with a confirmed diagnosis of COVID-19, pulmonary embolism was detected in 11.4 %, deep vein thrombosis and catheter-associated thrombosis in 1.2 %, ischemic stroke in 1.3 % of patients. The cumulative frequency of thrombosis was 28 %. Attention should be paid to the complexity of the diagnosis of thrombotic complications in patients who underwent artificial lung ventilation. possible thrombotic complications, regardless of clinical manifestations. Conclusions. Preference should be given to low molecular weight heparins in a standard prophylactic dose, an alternative to which are direct oral anticoagulants used in surgical protocols to prevent postoperative thrombosis. The duration of post-hospital thromboprophylaxis is determined individually ta­king into account the risk factors of thrombosis until the norma­lization of D-dimer and fibrinogen, but not less than 2 weeks after discharge.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1488
      Issue No: Vol. 18, No. 3 (2022)
       
  • Рain management in emergency limb trauma

    • Authors: O.A. Lovkin, V.I. Pertsov
      Pages: 40 - 43
      Abstract: Background. In Ukraine annually more than 4.5 million people receive injuries of varying severity, in the structure of injuries, 60–65 % of patients suffer damage to the limbs. Victims of limb traumas require effective anesthesia/analgesia at an early stage. An urgent anesthetic should provide sufficient relaxation of the extremity, adequate for operative and postoperative anesthesia, should be safe. Peripheral regional anesthesia meets the set requirements, but there are problem issues: severe identification of gums and nerve trunks, high frequency of complications. The purpose of the work is to carry out an analysis of the effectiveness and safety of the ultrasound-guided nerve block of the extremities in emergency traumatology. Material and methods. The retrospective analyzes of patients with isolated mechanical trauma of the limbs that were on treatment in the trauma department of “City clinical emergency hospital of Zaporizhzhia” in 2019–2020 were conducted. All patients underwent ultrasound-guided nerve block using the ultrasound device Logiq E with standard 12 MHz linear sensor. Anesthesia was performed in 0.5% bupivacaine 15–20 ml. During the study, the duration of the identification of plexus and nerves was evaluated; monitoring of hemodynamics with the help of UM-300 monitor at the research stages; fixed complications. Statistical analysis of data provided for methods of descriptive statistics. In all procedures of statistical analysis, the critical level of significance of p was taken to be 0.05. Data processing was performed using Statistica 6.0. Results. The results of the study indicate that ultrasound-guided nerve block was significantly faster than the non-ultrasound-guided nerve block (2.40 ± 0,03 min and 7.60 ± 0.04 min, respectively). During the study, there were no statistically significant changes in hemodynamic parameters at the study stages. ultrasound-guided nerve block were accompanied by complications in 5 cases (7.5 %), but these complications were diagnosed in a timely manner and did not lead to deterioration of the patient’s condition. Conclusions. Thus we can conclude that in emergency traumatology ultrasound-guided nerve block is statistically significantly faster than non-ultrasound-guided nerve block. Intraoperative analgesia for hemodynamic parameters in patients during the ultrasound-guided nerve block was effective. Ultrasound-guided nerve block were accompanied by complications in 5 cases (7.5 %), but these complications were diagnosed in a timely manner and did not lead to deterioration of the patient’s condition.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1489
      Issue No: Vol. 18, No. 3 (2022)
       
  • Postoperative cognitive dysfunctions and operating position

    • Authors: K.I. Lyzogub, V.V. Nikonov, M.V. Lyzogub, S.V. Kursov, F.E. Feskov, S.M. Yakovenko
      Pages: 44 - 47
      Abstract: Background. Postoperative cognitive dysfunction (POCD) is a common complication after surgery with general anae­sthesia in the elderly. However, roughly 12 % of patients over age 65 had postoperative cognitive dysfunction (POCD) three months after surgery. This is an important issue in perioperative care as extensive surgery on older patients becomes more common. POCD is usually transient. Its pathogenesis is multifactorial, with the immune response to surgery probably acting as a trigger. Factors that elevate the risk of POCD include old age, pre-existing cerebral, cardiac, and vascular disease, low educational level, and intra- and postoperative complications. The findings of multiple randomi­zed controlled trials indicate that the method of anesthesia does not play a causal role for prolonged cognitive impairment. POCD is associated with poorer recovery and increased utilization of social financial assistance. POCD is associated with a decrease in quali­ty of life, loss of function, and increased mortality. Materials and methods. When examining cognitive functions according to Schulte tables, no significant changes were found in patients operated on in pron-position. Results. In patients operated on in the BCP, a signi­ficant difference was found — by 3 days of the postoperative period, the mean binding time of numbers in the elderly was significantly longer than in young and middle-aged patients. Similar changes were observed when testing for phonetic speech activity. On the 3rd day after the operation, elderly patients could be called fewer words per minute than younger patients in the BCP group. Conclusions. When two intraoperative positions was compared the development of the POCD was observed in a group of elderly patients operated by the BCP. Patients of all ages who undergoing surgery in the BCP had a significantly longer time before extubation than patients who undergoing surgery in a pron-position.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1490
      Issue No: Vol. 18, No. 3 (2022)
       
  • Indicators of X-ray fluorescent intensity in the content of captules of
           metal fragiles of soft tissues in injuries with explosive and fire-fire

    • Authors: I.A. Lurin, V.V. Boyko, K.V. Gumenіuk, P.M. Zamyatin, E.M. Khoroshun, I.F. Mikhailov, O.A. Baturin, V.V. Negoduyko, D.P. Zamiatin, С.М. Tertyshny
      Pages: 48 - 54
      Abstract: Background. Diagnosis of metal fragments in the soft tissues of the wounded is based on examination, history, data of radiographic and ultrasound examinations, wound revision. Errors in the diagnosis and treatment of gunshot wounds are due to the complexity of the mechanism, the combined nature of the injury and the inconsistency of seemingly minor changes in severe intracavitary and intratissue damage. One of the new technologies for deepening scientific knowledge is a modern method of X-ray diffractometry using X-ray phase analysis, which is effectively used in the study of metals. Taking into account the metal composition of most final metal fragments of explosive and refractory genesis and the possible diffusion of metal elements into the surrounding capsule, this method is adapted and used to study capsules of metal fragments of explosive and refractory genesis. The purpose of the study: to determine and analyze the intensity of X-ray fluorescence of the contents of the nano-impurities of capsules of metal fragments of soft tissues of explosive and refractory genesis. Mate­rials and methods. As a material for the study of X-ray fluorescence intensity of the nano-impurity content, soft tissues removed surgically together with an encapsulated metal fragment of explosive and fire-fighting genesis were used in 36 wounded in the period from 2 months to 23 years after wounding in a military medical clinic. The center of the Northern region of the Ministry of Defense of Ukraine and the State Institution “IZNH them. V.T. Zaitseva National Academy of Medical Sciences of Ukraine”. Results. Accor­ding to the results of the study of the intensity of X-ray fluorescence of nano-impurities, 3 phases of encapsulation of metal fragments in the soft tissues of the wounded were determined on the basis of elemental, structural, cellular, tissue and clinical data: active dynamic changes, transient phase, unstable equilibrium their absence in most clinical cases. Conclusions. 3 phases of encapsulation of metal fragments in soft tissues of wounded were determined on the basis of elemental, structural, cellular, tissue and clinical data: active dynamic changes, transitional phase, unstable balance, which reflect the main mechanisms of complications and their absence in most clinical cases.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1491
      Issue No: Vol. 18, No. 3 (2022)
       
  • A clinical case of prolonged CPAP ventilation in a patient with
           COVID-19-associated pneumonia

    • Authors: A.P. Mazur, O.Yu. Khomenko, A.O. Borysenko, E.I. Novikova
      Pages: 55 - 58
      Abstract: Non-invasive ventilation (NIV) via a mask to maintain a constant positive airway pressure (CPAP mask) is the method of choice for the treatment of pulmonary disorders in severe COVID-19-associated pneumonia. Nowadays, there are no studies which had shown the effectiveness of the ROX-index in predicting the efficacy of NIV in patients with acute hypoxic respiratory failure (AHRF). This clinical case describes our experience of effective use of ROX-index in patients with AHRF because of coronavirus disease, SARS-CoV-2-associated, who underwent non-invasive lung ventilation through CPAP mask.
      PubDate: 2022-06-29
      DOI: 10.22141/2224-0586.18.3.2022.1492
      Issue No: Vol. 18, No. 3 (2022)
       
 
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