Trends in changing the structure of anesthesia at the advanced stages of medical care in modern armed conflict
The objective was to analyze the structure of anesthesia provided to the wounded at the advanced stages of medical care in the active phase of hostilities.Materials and methods. A retrospective analysis of the medical data of anesthesia was performed. The data on the structure of anesthesia in milit...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2024-10-01
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| Series: | Вестник анестезиологии и реаниматологии |
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| Online Access: | https://www.vair-journal.com/jour/article/view/1064 |
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| author | A. E. Tsygankov M. E. Semenov V. E. Petrov E. А. Usoltsev S. V. Sidelkin E. N. Ershov |
| author_facet | A. E. Tsygankov M. E. Semenov V. E. Petrov E. А. Usoltsev S. V. Sidelkin E. N. Ershov |
| author_sort | A. E. Tsygankov |
| collection | DOAJ |
| description | The objective was to analyze the structure of anesthesia provided to the wounded at the advanced stages of medical care in the active phase of hostilities.Materials and methods. A retrospective analysis of the medical data of anesthesia was performed. The data on the structure of anesthesia in military medical organizations of 1–3 levels in the zone of a special military operation for the period from 01.2023 to 07.2024 were analyzed.Results. In the structure of combat trauma, with the need for surgical intervention, gunshot wounds amounted to 85.2%, there was a predominance of combined (71.5%) and multiple (19.8%) wounds.The low proportion of combined general anesthesia and the lack of use of inhalation anesthesia at some stages is explained by the special conditions of care. Regional anesthesia (RA), including as part of combined anesthesia, in the structure of anesthesia at the stages of emergency specialized surgical care amounted to 34.5%, and at the stages of qualified surgical care – 25.4%. The lowest rates of RA use were at the stages of level 1, as well as at the stages of level 2 with a 100% flow of primary wounded.Conclusion. RA occupies a significant share in the structure of anesthesia at the military stages of medical evacuation; an increase in the frequency of its use is possible due to the introduction of ultrasonic navigation. |
| format | Article |
| id | doaj-art-a4a5ef846cde44c68c57c96eac3f656c |
| institution | Matheson Library |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2024-10-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-a4a5ef846cde44c68c57c96eac3f656c2025-08-04T10:20:49ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532024-10-01215839010.24884/2078-5658-2024-21-5-83-90714Trends in changing the structure of anesthesia at the advanced stages of medical care in modern armed conflictA. E. Tsygankov0M. E. Semenov1V. E. Petrov2E. А. Usoltsev3S. V. Sidelkin4E. N. Ershov5442 Military Clinical HospitalCentral Military Clinical Hospital named after A. A. Vishnevsky1586 Military Clinical Hospital442 Military Clinical Hospital1409 Naval Clinical HospitalKirov Military Medical AcademyThe objective was to analyze the structure of anesthesia provided to the wounded at the advanced stages of medical care in the active phase of hostilities.Materials and methods. A retrospective analysis of the medical data of anesthesia was performed. The data on the structure of anesthesia in military medical organizations of 1–3 levels in the zone of a special military operation for the period from 01.2023 to 07.2024 were analyzed.Results. In the structure of combat trauma, with the need for surgical intervention, gunshot wounds amounted to 85.2%, there was a predominance of combined (71.5%) and multiple (19.8%) wounds.The low proportion of combined general anesthesia and the lack of use of inhalation anesthesia at some stages is explained by the special conditions of care. Regional anesthesia (RA), including as part of combined anesthesia, in the structure of anesthesia at the stages of emergency specialized surgical care amounted to 34.5%, and at the stages of qualified surgical care – 25.4%. The lowest rates of RA use were at the stages of level 1, as well as at the stages of level 2 with a 100% flow of primary wounded.Conclusion. RA occupies a significant share in the structure of anesthesia at the military stages of medical evacuation; an increase in the frequency of its use is possible due to the introduction of ultrasonic navigation.https://www.vair-journal.com/jour/article/view/1064anesthesiaanesthesiology and intensive careregional anesthesiawoundcombat injurystages of medical evacuation |
| spellingShingle | A. E. Tsygankov M. E. Semenov V. E. Petrov E. А. Usoltsev S. V. Sidelkin E. N. Ershov Trends in changing the structure of anesthesia at the advanced stages of medical care in modern armed conflict Вестник анестезиологии и реаниматологии anesthesia anesthesiology and intensive care regional anesthesia wound combat injury stages of medical evacuation |
| title | Trends in changing the structure of anesthesia at the advanced stages of medical care in modern armed conflict |
| title_full | Trends in changing the structure of anesthesia at the advanced stages of medical care in modern armed conflict |
| title_fullStr | Trends in changing the structure of anesthesia at the advanced stages of medical care in modern armed conflict |
| title_full_unstemmed | Trends in changing the structure of anesthesia at the advanced stages of medical care in modern armed conflict |
| title_short | Trends in changing the structure of anesthesia at the advanced stages of medical care in modern armed conflict |
| title_sort | trends in changing the structure of anesthesia at the advanced stages of medical care in modern armed conflict |
| topic | anesthesia anesthesiology and intensive care regional anesthesia wound combat injury stages of medical evacuation |
| url | https://www.vair-journal.com/jour/article/view/1064 |
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