DISASTER MEDICINE No. 4•2021

https://doi.org/10.33266/2070-1004-2021-4

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

Download the article in pdf format

1 Scientific and Practical Center for Emergency Medical Care оf the Moscow City Health Department, Moscow, Russian Federation

UDC [614.88:613.693]:616-08-039.74:615.816

Pp. 67-72

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

For citation: Gumenyuk S.A., Potapov V.I., Sheptunov G.V., Sysoev A.Y. Peculiarities of Respiratory Support in Patients with Severe Pathology during Air Ambulance Evacuation. Meditsina katastrof = Disaster Medicine. 2021;4:67-72 (In Russ.). https://doi.org/10.33266/2070-1004-2021-4-67-72

 

REFERENCES

  1. Shelukhin D.A., Pavlov A.I., Ershov A.L. Extracorporeal Membrane Oxygenation for Patients with Severe Respiratory Failure. Case Report: First Time in Russia Inter-Hospital Aeromedical Transportation of the Patient with Severe Acute Respiratory Failure on Extracorporeal Membrane Oxygenation. Mediko-Biologicheskie i Social’no-Psikhologicheskiye Problemy Bezopasnosti v Chrezvychaynykh Situatsiyakh = Medico-Byiological and Socially-Psychological Problems of Safety in Emergencies. 2015;3:24-34 (In Russ.).
  2. Gellerfors M., Fevang E., Bäckman A., et al. Pre-Hospital Advanced Airway Management by Anaesthetist and Nurse Anaesthetist Critical Care Teams: a Prospective Observational Study of 2028 Pre-Hospital Tracheal Intubations. Brit. J. Anaesth. 2018;120;5:1103–1109.
  3. Kulik A.I., Pikovsky V.Yu. Respiratory Support in Complex Intensive Therapy of Cardiogenic Shock at the Prehospital Stage. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2015;16;3:31-37. https://doi.org/10.24884/2072-6716-2015-16-3-31-37 (In Russ.).
  4. Ershov A.L., Shchurov A.Yu. Emergency Mechanical Ventilation in Russian Megapolis Ambulance Practice. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2016;17;2:27-32. https://doi.org/10.24884/2072-6716-2016-17-2-27-32 (In Russ.).
  5. Piegeler T., Roessler B., Goliasch G. Evaluation of Six Different Airway Devices Regarding Regurgitation and Pulmonary Aspiration during Cardio-Pulmonary Resuscitation (Cpr) – a Human Cadaver Pilot Study. Resuscitation. 2016;102:70-74.
  6. Pikovskiy V.Yu., Kulik A.I., Barklaya V.I., Adelyanov M.R. Respiratory Support in Intensive Therapy of Cardiac Pulmonary Edema at the Prehospital Stage. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2016;17;1:9-14. https://doi.org/10.24884/2072-6716-2016-17-1-9-14 (In Russ.).
  7. 7. Ershov A.L., Miroshnichenko A.G., Boykov A.A., Shchurov A.Yu. Epidemiology and Outcomes of Acute Respiratory Failure at the Stage of Emergency Medical Care in St. Petersburg. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2018;19;1:48-54. https://doi.org/10.24884/2072-6716-2018-19-1-48-54 (In Russ.).
  8. Kozyrev D.V., Khupov M.T. Sanitary Aviation Evacuation with Use of Light Helicopters in Megapolis Environment. Meditsina katastrof = Disaster Medicine. 2017;1:31-33 (In Russ.).
  9. Xu R., Lian Y., Li W.X. Airway Complications During and After General Anesthesia: a Comparison, Systematic Review and Meta-Analysis of Using Flexible Laryngeal Mask Airways and Endotracheal Tubes. PLoS One. 2016;11;7:e0158137.
  10. Ershov A.L. Airway Management During Out‑of‑Hospital Acute Respiratory Insufficiently. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2018;19;3:62-69. https://doi.org/10.24884/2072-6716-2018-19-3-62-69 (In Russ.).
  11. Tarpgaard M., Hansen T. M., Rognas L. Anaesthetist-Provided Pre-Hospital Advanced Airway Management in Children: a Descriptive Study. Scand. J. Trauma Resusc. Emerg. Med. 2015:27:23-61.
  12. Gorbachev V.I., Lokhov A.V., Gorbacheva S.M. About Respiratory Support In Patients With Severe Stroke Forms Prehospital. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2018;19;3:56-61. https://doi.org/10.24884/2072-6716-2018-19-3-56-61 (In Russ.).
  13. Gumenyuk S.A., Fedotov S.A., Potapov V.I., Teryaev V.G., Agafonov S.A., Retrospective Multifactor Analysis of Activity of Aeromedical Teams of Territorial Center for Disaster Medicine of Moscow. Meditsina Katastrof = Disaster Medicine. 2019;1:47–49. DOI: 10.33266/2070-1004-2019-1-47-49 (In Russ.).
  14. Ershov A.L. Respiratory Support at Prehospital Stage of Emergency Medical Care: Current Status, Problems and Prospects of Development. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2017;18;4:53-59. https://doi.org/10.24884/2072-6716-2017-18-4-53-59 (In Russ.).
  15. Gumenyuk S.A., Fedotov S.A., Potapov V.I., Sheptunov G.V. Aviamedical Teams in the Conditions of Megapolis: Work Experience, Problems, Prospects. Kafedra Travmatologii i Ortopedii = Department of Traumatology and Orthopedics. 2018;1:5-8 (In Russ.).
  16. Hernandez Dominguez O., Grigorian A., Lekawa M., et al. Helicopter Transport Has Decreased Over Time and Transport from Scene or Hospital Matters.Air Medical Journal. 2020;39;4:283-290/ 04.006. URL: https:// doi.org/10.1016/ j.amj.2020.04.06.
  17. Birmingham Lauren E., Richner G., Moran M., et al. Timeliness of Care for Injured Patients Initially Seen at Freestanding Emergency Departments. Quality Management in Health Care. 2020;29;2:95-99. DOI: 10.1097/QMH.0000000000000252.
  18. Gumenyuk S.A., Fedotov S.A., Potapov V.I., Sysoev A.Yu. Work Experience of the Aviation Medical Teams of the Scientific and Practical Center for Emergency Medical Care of the Department of Healthcare of the City of Moscow in 2015-2019. Mediko-Biologicheskie i Social’no-Psikhologicheskiye Problemy Bezopasnosti v Chrezvychaynykh Situatsiyakh = Medico-Byiological and Socially-Psychological Problems of Safety in Emergencies. 2020;4:60-68. DOI 10.25016/2541-7487-2020-0-4-60-68 (In Russ.).
  19. Potapov V.I., Fedotov S.A., Gumenyuk S.A., Tolstykh A.N. Improving the Organization of Medical Assistance to Victims with Injuries as a Result of Crisis and Emergency Situations in Moscow. Dostizheniya Rossiyskoy Travmatologii i Ortopedii = Achievements of Russian Traumatology and Orthopedics. Mater. of XI All-Russian Congress of Traumatologists-Orthopedists. In 3 vol. Vol. II. Section 1. Organizatsionnyye Aspekty Travmatologii i Ortopedii = Organizational Aspects of Traumatology and Orthopedics. St. Petersburg, 2018. P. 70-71 (In Russ.).

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

 
Copyright © 2024 “Disaster Medicine” Journal | Powered by “Disaster Medicine” Journal