Noninvasive Ventilation as a Method of Respiratory Support in Patients with Skeletal Trauma Complicated by Fat Embolism Syndrome

 Technique

Davydova N.S., Boltaev P.G., Vasilenko P.B., Lukin S.Y.,

Skorohodova L.A., Shen N.P.

Abstract.
The leading cause of death in patients with severe injury complicated by fatty embolism, in most cases is acute respiratory distress syndrome, the treatment of which is prolonged mechanical ventilation. A multicenter study demonstrated the possibility and feasibility of noninvasive ventilation in patients with skeletal trauma complicated with fat embolism syndrome. The authors have additional criteria for the severity of the condition of victims, and shows that an important criterion for the rejection of non-invasive ventilation and invasive is the lack of consciousness, the desynchronization of the appliance for Auxiliary ventilation and the need for a specialized regimes or miorelaxation to synchronize with the respirator.

Key words:
fat embolism, non-invasive ventilation, skeletal trauma.

Autors:
Davydova Nadezda S.
mail: davidovaeka@mail.ru
State budget educational institution of higher professional education «Ural State Medical Academy», head of the Department of Anesthesiology and reanimatology and transfusiology
620025, Ekaterinburg, Repin st, 3

Boltaev Pavel G.
e-mail: dr.boltaev@mail.ru
Municipal Budget Institution Hospital №36 «Trauma», Head of the Department of Anesthesiology and and reanimatology
620007, Ekaterinburg, Central st., 2.

Vasilenko Pavel B.
e-mail: nataliashen@rambler.ru
State budget educational institution of higher professional education in Tyumen State Medical Academy, Assistant Professor of Anesthesiology and reanimatology
623025, Tyumen, Odessa st., 54

Lukin Stanislav Iurevich
e-mail: dr.boltaev@mail.ru
Municipal Budget Institution Hospital №36 «Trauma», chief medical officer
620007, Ekaterinburg, Central st., 2.

Skorokhodova Larisa A.
e-mail: larissa_15@maul.ru
Federal state autonomous educational institution of higher professional education «Russian State Vocational Pedagogical university», associate professor of management and marketing
620012, Ekaterinburg, Mashinostroiteley st., 11

Shen Natalya P.
e-mail: nataliashen@rambler.ru
State budget educational institution of higher professional education «Tyumen State Medical Academy», head of the Department of Anesthesiology and reanimatology
623025, Tyumen, Odessa st., 54