DISASTER MEDICINE No. 4•2021
Peculiarities of Respiratory Support in Patients with Severe Pathology during Air Ambulance Evacuation
Gumenyuk S.A.1, Potapov V.I.1, Sheptunov G.V.1, Sysoev A.Yu.1
1 Scientific and Practical Center for Emergency Medical Care оf the Moscow City Health Department, Moscow, Russian Federation
Abstract. The aim of the study is to identify and to analyze the features of respiratory support in patients with severe acute respiratory failure when performing air ambulance evacuation by light class helicopters by specialists of aeromedical teams.
Materials and methods. We used materials containing data on the frequency and peculiarities of ventilator usage and tracheal intubation during emergency medical care for patients with acute respiratory failure over the last 5 years (2016-2020). During this period emergency medical care was provided to 53579 patients, 298 of whom were in extremely severe and serious condition requiring ventilator usage and tracheal intubation.
The following methods were used in the study: historical, statistical, analytical.
Results of the study and their analysis. Trauma prevailed among nosological forms in patients with acute respiratory failure. Artificial lung ventilation with tracheal intubation should be started before the patient is transported to the helicopter cabin.
During air ambulance evacuation of patients with acute respiratory failure by helicopter of light class, doctors should take differentiated approach to the choice of type and mode of respiratory support and of method of airway patency assurance.
Keywords: acute respiratory failure syndrome, air ambulance evacuation, artificial lung ventilation, aviation medical teams, patients with severe pathology, respiratory support, tracheal intubation
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The material was received 07.07.21; the article after peer review procedure 08.11.21; the Editorial Board accepted the article for publication 13.12.21