METHOD OF TREATMENT OF CHILDREN WITH RESPIRATORY INSUFFICIENCY AT CRITICAL STATES

摘要

FIELD: medicine, anesthesiology, pediatrics, reanimatology. SUBSTANCE: method involves artificial lung ventilation with additional administration of endobronchial preparation of pulmonary surfactant "Surfactant-BL" or "Surfactant-HL". Surfactant is administrated from first hours of development of respiratory insufficiency being at first at the dose 300-400 mg/m² by bolus route and then at the dose 20-30 mg/h for 1-3 days constantly as aerosol followed by extubation of patient. Method provides possibility of early softening ventilation indices, decrease of time for patient at the state of artificial lung ventilation up to 8-72 h, significant decrease of total course dose of surfactant and significant increase of viability of patients. Invention can be used for treatment of patients with respiratory insufficiency of II-III degree of severity. EFFECT: enhanced effectiveness of treatment. 1 tbl, 3 ex