METHOD FOR PREVENTING AND TREATING VENTILATOR-ASSOCIATED PNEUMONIA

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to anaesthesiology and resuscitation, and can be used in intensive care patients suffering from ventilator-associated pneumonia, or where there is a high risk of development thereof. Stabilising haemodynamics is followed by 8 turns of a patient's body a day. The cycle is started from 08-00: 3 hours on his/her back, 2 hours on his/her side, 2 hours on the other side, 3 hours on his/her back, 6 hours on his/her stomach, 4 hours on his/her back, 2 hours on his/her side, 2 hours on his/her side. The patient's centre of gravity is changed every 2 hours with the patient lying on his/her stomach and back. Propofol is infused at 2-3 mg/kg/hour 20 minutes before the patient is turned on his/her stomach and continued until the patient's position is changed again. A nitroglycerin infusion is started 5 minutes after the patient is turned on his/her back in a dose of 0.5-1.0 mcg/kg/min and continues for 5 hours. An antibacterial preparation is intermittently or microfluid single administered 10 min after the patient is turned on the stomach; observing other rate of administration of the antibacterial preparation, one of the administrations is performed 10 minutes after the patient is turned on the stomach.;EFFECT: method provides effective treatment and/or preventing of ventilator-associated pneumonia by exposing to a gravity factor of regional non-uniform ventilation and pulmonary perfusion, and an excessive hypoxic vasoconstriction.;2 cl, 4 tbl, 3 ex