METHOD FOR DETERMINING READINESS OF NEWBORNS WITH MULTIPLE ORGAN FAILURE TO DEACTIVATION OF ARTIFICIAL PULMONARY VENTILATION

摘要

FIELD: medicine.SUBSTANCE: newborn's integrated assessment aims at detecting if the following parameters are observed: an oxygen delivery index of no more than 583 ml/ma minute and PO/FIO?400; at evaluating cerebral dysfunctions severity and assigning points with the total score is supposed to be 2 or less, according to the following parameters: Prechtl activity level: 4 or 5 - 0 points, 3 - 1 point, 2 - 2 points, 1 - 3 points; acoustic blink reflex: 0 points - yes, 1 point - no; fisting: 0 points - no, 1 point - transitory, 2 points - persistent; crossed extensor reflex: 0 points - yes, 1 point - no; Babinski's reflex: 0 points - yes, 1 point - no; tonus: 0 points - normal, 1 point - hypertonia, 2 points - hypotonia, 3 points - atonia; minute ventilation (Ve/kg min): 400 ml - 0 points, 400 ml - 2 points; convulsions: 0 points - no, 1 point - up to three times a day, 2 points - 3 and more, 3 points - status; anterior fontanel: 0 points - normal, 1 point - depressed, 2 points - tensed.EFFECT: method provides the adequate assessment of the readiness of the newborns with multiple organ failure to deactivation of artificial pulmonary ventilation in a combination with a lower rate of re-intubations and lethal outcomes.