D. Ahmedov1, B.H. Davlatov1, L.R. Dostiev2, D.A. Davlatov1
ACUTE RESPIRATORY FAILURE IN LESION OF THE NERVOUS SYSTEM
1Department of Anesthesiology and Reanimatology, Avicenna Tajik State Medical University, Dushanbe, Tajikistan
2Resuscitation Department, National Medical Center, Dushanbe, Tajikistan
Objective: The analysis of clinical physiology of acute respiratory failure, depending on the localization of the process in the nervous system in various diseases of it and the setting of indications for artificial ventilation of lungs (AVL).
Methods: Traced 26 patients with serious diseases of the nervous system, who needed to the AVL, and which were in aftercare in the Resuscitation Department of the National Medical Center.
Results: Depending on the lesion of the nervous system, the patients were divided into 2 groups. 18 (69%) of patients (group I) received central nervous system damage (strokes, encephalitis), which caused of acute respiratory failure (ARF). In 8 (31%) of patients (group II), the cause of ARF was the pareses and stethoparalyses (polyradiculoneuropathy, myasthenia).
Conclusions: Clinical syndromes in lesions of the central regulation of respiratory system are the partial or complete loss of voluntary breathing and coughing as well as pathological forms of respiratory movements. The assessment of respiratory failure is based on the degrees of liquation of PO2, the diffusive capability of the lungs, an increase in the ventilation-perfusion ratio, and an increase in the physiological dead space by a factor of 1.5.
Keywords: Acute respiratory failure, artificial ventilation of lungs (AVL), violation of ventilation-perfusion ratio.
Ahmedov Jamoledin, Candidate of Medical Sciences, Associate Professor, Head of the Department of Anesthesiology and Reanimatology, Avicenna TSMU
Davlatov Bahriddin Khairiddinovich, Assistant of the Department of Anesthesiology and Reanimatology, Avicenna TSMU
Davlatov Latif Rakhmonovich, Doctor Anaesthetist-resuscitator, a Reanimation
Department of State National Medical Center
Davlatov Dilshod Aslamkhonovich, Assistant of the Department of Anesthesiology and Reanimatology, Avicenna TSMU
Address for correspondence
Davlatov Bahriddin Khairiddinovich
Assistant of the Department of Anesthesiology and Reanimatology, Avicenna TSMU
734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139
Tel.: (+992) 931 020286