METHOD FOR WEANING FROM ARTIFICIAL VENTILATION OF LUNG PATIENTS WITH SPINAL CORD INJURY AT THE LEVEL OF THE NECK SPINE WITH SEVERITY OF SPINAL CORD INJURY ASIA A AND ASIA B

摘要

FIELD: medicine.;SUBSTANCE: invention can be used for weaning from mechanical ventilation (ALV) in the postoperative period of patients with spinal cord injury at the level of the cervical spine with the severity of spinal cord injury ASIA A and ASIA B. For this, the method of ultrasound imaging in the mode of independent breathing determines the thickness and mobility of the diaphragm. Gas exchange parameters are determined: partial pressure of oxygen (pO₂), partial pressure of carbon dioxide (pCO₂), acid-base state (pH) and oxygenation index (OI). The thickness of the diaphragm is determined at rest. The mobility of the diaphragm is determined at rest and during forced breathing. Ventilation is stopped when the preoperative values ​​of the thickness and mobility of the diaphragm are reached or exceeded, as well as if pO₂ is greater than or equal to 136 mmHg, pCO₂ is greater than or equal to 36 mmHg, pH is 7.43, OI is greater than or equal to 365. ;EFFECT: invention makes it possible to determine the time point for transferring these patients to spontaneous breathing.;1 cl, 2 ex