Rusmedikal groups, an official partner of your health NE Burov Moscow . Department of Anesthesiology and Intensive Care RMAPO (zav.prof I. Molchanov)
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Elkin IO, NPRTS Bonum ", Ekaterinburg. Thus we can imagine a tuple state model of the psyche in postnatkoznom period: CAP = COI, PP, COC (CT, VA, FM), K, T; R> Where ISP-initial state psi
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IO Elkin, NPRTS Bonum ", Ekaterinburg In the group of school-age children undergoing surgery for congenital jaw- facial pathology (VCHLP), we observed a different degree and duration damage indicators you
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AD Belyaev, RV Quail, AA Wolves Department of Anesthesiology and Intensive Care Medical University PDFs, Emergency Care Hospital-2 City TB Dispensary, Rostov-on-Don Nowadays, great interest developed
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How (based on the company Datex) Novosibirsk in 1995 Content 1.Introduction 2 2.What is kapnog
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PhD VV Gorodetsky, Professor V. Skvortsova, Professor IJ Demidov, MD AV Topolyansky, Professor VA Kasglov MSMSU them. NA Semashko RSMU National Scientific and Practical Society
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Professor BS Briskin, MD EI Vovk MSMSU them. NA Semashko Bleeding called outflow (yield) of blood from the bloodstream. Bleeding most often caused by: fur
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Sitnik AG, Rodoslav LS, Feldman A. City Clinical Hospital ¹ 1, Odessa. In the complex of therapeutic measures in patients with severe head injury after
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Sitnik AG, Rodoslav LS, Lewin MB, Arbuzov, DY, A. Feldman, Budnyuk AA Butenin AA «Pain - an unpleasant sensory and emotional condition caused
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Bishop, AS, Vegerzhinsky AG Sitnikov AG, Rodoslav LS, Feldman A. Odessa «Anyone who drinks it means vyzdora > except for those to whom it does not helps, and they die. is therefore clear that it is ineffective only in incurable cases. » Galen Modern pharmacology is dynamic and displays the progress of biomedical and pharmaceutical sciences . Every year the pharmaceutical market received dozens of new original dasgs, hundreds of products with new brand names in variety of dosage forms. As the number of medical facilities increasingly complicated patient care. It must be remembered that dasgs along with the therapeutic effect can cause a variety of side effects, ranging from trivial (slight nausea and vomiting) to fatal (aplastic anemia , anaphylactic shock, and others, which may lead to death of the patient). Mortality of patients who are hospitalized as a result of adverse action or overdose of the dasg less than 1% (Chronicle WHO). However, dasgs are readily available ordinary consumer who does not have medical education, resulting in about 5% of emergency admissions, about poisoning associated with the development of side effects of dasgs. When poisoning by certain dasgs and various chemicals symptomatic therapy, whereas the most appropriate use of antidotes for adequate elimination of poison from the body. Antidotes intended to change the kinetic properties of toxic substances, their absorption or removal from the body, reducing the toxic effects on the receptors and as a result of this - improve the functional and vital prognosis of poisonings. Specific antidotes exist for only a few groups of dasgs, there are also twomoregroups Antidote: Antidote, which are pharmacological antagonists and antidotes to accelerate the biotransformation of toxic metabolites in the venom. According to the classification proposed Luzhnikovym EA distinguish four main groups of antidotes: 1. Chemical (toksikotropnye) antidotes; 2. Biochemical (toxicokinetic) antidotes; 3. Pharmacological (symptomatic) antidotes; 4. Antitoxic Immunopreparat. development of methods for resuscitation and supportive care has made significant changes in tactics treatment of acute poisoning and increased the role of antidotes in clinical Toxicology. proposed following table contains a list of antidotes and their synonyms, necessary for the most common poisonings. Hopefully it will convenient reference tool for practicing physicians and medical students. Table ¹ 1 >>> Given that used for the treatment of the same poison antidotes different groups have different mechanism of action and most of the antidotes for except toksikotropnyh and antitoxic Immunopreparat not have a direct effect on poison, we recommend a comprehensive antidote therapy in the form of sequential use of dasgs. The use of antidotes does not preclude the need for therapy aimed at the accelerated elimination of poison from the body. for effective detoxification of the body must timely posindromnoy reanimatologicheskoy correction of vital body functions (toxic shock, acute respiratory failure , etc.). should bear in mind the possible adverse reactions and complications from the very antidote, the likelihood of which increases with thoughtless use of these medical facilities. If you accidentally entered an antidote to a large dose of can manifest its toxic effects on the body. antidote therapy retains its effectiveness only in toxigenic (early) phase of acute poisoning , whose duration depends on the toxicokinetic features of this toxic substance, the quality of it is at this stage treatment has a decisive influence on the prognosis and outcome of disease. The effectiveness of antidote therapy significantly reduced in the terminal stage acute poisoning in the development of severe disorders of the circulatory system and gas exchange, which requires simultaneous resuscitation, to detoxify the body and restore the homeostasis of the body as a whole. References: Bratash VI Diagnosis, clinical features and treatment of critical states in acute poisoning and endotoxemia. - M.: Medicine, 1998. - Ss.112 -124. Don H. Decision-making in intensive care. - M.: Medicine, 1995. - Ss. 24-25 Ershov F. Clinics, diagnostics, pathogenesis and treatment of acute problems poisoning barbituric acid derivatives. (Clinical study EXPERIMENTAL). Abstract. Dis. ... Dr. med. Science - M., 1984. Bunny INC., Churilov AP Fundamentals patohimii. - St., 2000. - 687. Komarov B . D., Luzhniki EA Shimashko II Surgical treatment of acute poisoning , M.: Meditsina, 1981. - Ss.21-24 Compendium. Medicines 1999/2000 - Kiev, 1999. - 1200. Koposov E . S. / / In the book. Tabuleac GN (Eds): resuscitation - M. Medicine. 1976. - Ss. 217 - 242. Ludevich R., Klaus K. Acute poisoning. - M.: Medicine, 1983. - 560. Luzhniki E . A. / / in the book. Golikov SN (Eds): Emergency aid in acute poisonings . - M.: Medicine, 1977. - Ss. 72 -81. Luzhniki E . A. Modern principles of detoxification therapy of acute poisoning . / / Anesthesia. and resuscitation. - 1988. - ¹ 6. - Ss. 4-6. Luzhniki E . A. Clinical Toxicology. - M., 1994. - Ss. 113-118 Luzhniki E. A., Goldfarb, YS, SG Musselius detoxification. - St. Petersburg, 2000.-192 with. Marino P . L . Intensive care (translated from English Amended) - Moscow, 1998. - 639 with. Mikhailov . B. Fundamentals of rational pharmacotherapy. - St., 1999. - 480 pp. In Negovsky . A. Basic resuscitation. - Tashkent: Meditsina, 1977. - 590. Emergency Conditions children / Sidel'nikov VM, K i¿ in: Health, 1983. - Ss225-241 Pal Chiki / / in the book. Peter Vargem et al (eds): Theory and Practice of Intensive Care, - Kiev: W Fedorov I, 1983. - Ss.646 - 650. resuscitation / Tsibulnyak GN, M.: Meditsina, 1976. - pp. 217-242 Savin S. Acute poisoning medicinal substances. - M., 1992. - Ss.73-79 The estimated AS, Petrova LI Emergency state in the clinic of internal diseases . - M.: Medicine, 1977. - Ss. 158-179 Reference Vidal 1995. - 1168 with. Reference Vidal , 1998. - 1600. Reference measures of first aid and prevention of poisoning, related to the marine transport of dangerous goods / Lobenko AA, Bishop, AS, Barazenka OV, AA Novikov, AV Papenko ., Oleshko AA - Odesa, 1992. - 82. Reference Resuscitation. Ed. Klyavzunika IV - Minsk: Belaass, 1978. - Ss. 133-155 wort, GM, Mazur, G., Kunnon RE, Saffredini EF, Orzhiben FP, Hoffman, VD, Shelhamer DG Pharmacotherapy of emergency conditions. - St .- M., 1999. - 633 with. Treschinsky A . I. Zabroda GS / / In the book. Budnastyana (eds): Handbook of Anesthesiology and Critical Care Medicine. - M. Medicine, 1982. - Ss. 310 - 317. Tarahovsky M . L. Kogan, YS, Mizyukova IG, Light SS, Terekhov I.T. Treatment of acute poisoning. - Kiev: healthy I, 1982. - 231. Fried M ., Grains C. Cardiology in tables and diagrams. - M., 1996. - 736 with. chepken A . VP, pity-Titarenko VF Anesthesiology and Critical Care Medicine. - K. Highest School, 1984. - ss. 327 -338. Tsybulnyak F . N. Prehospital resuscitation, - L.: "Medicine", 1980. - 232. Publish with permission
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