Structural Slope Mapping Using Multicopters and Comparative Analysis of Modern Methods for Studying Fracturing
Year: 2024
Type: conference-paper
Study design: Observational Study
Abstract: Mirzaeva Adiba Damirovna Head of the Department of Pediatrics Republican Scientific Center for Emergency Medical Care 抽象的。 中国神经外科重症监护病房(ICU)收治的36例(7～18岁)学龄期重症 脑外伤(SCTBI)患者长期连续监测血氧饱和度数据 共和党紧急医疗护理科学中心 (RSCEMC) 在交通事故 (RTA) 发生后的头几个小时内对 33 名卡塔伤患者进行 了研究。 从 7 岁以上儿童严重复合型颅脑损伤重症监护的第一个小时开始， 无 论损伤的严重程度如何， 血氧饱和度指数都可以维持在 97.8% 以上的水平。 第 3 组患者的昼夜节律中平均每小时氧饱和度最高， 这与由于病情严重而更积极地 吸入浓缩氧气-空气混合物有关。 在第 2 组中发现氧饱和度与 SBP (0.7)、 SV (0.66) 和 PBP (0.79) 之间存在很强的直接相关性， 这证实了随着 SV、 SBP、 PBP 的增加而改善血液氧合的趋势以及降低的趋势 在心率。 关键词： 严重伴随创伤性脑损伤， 昼夜节律， 氧饱和度， 学龄儿童。 Abstract.The data of long-term continuous monitoring of the oxygen saturation index in 36 school-age patients (7-18 years old) with severe concomitant traumatic brain injury (SCTBI) admitted to the intensive care unit (ICU) of the neurosurgical department of the Republican Scientific Center for Emergency Medical Care (RSCEMC) were studied in the first hours after a traffic accident (RTA) -33, catatrauma -3 patients.From the first hours of intensive care for severe combined traumatic brain injury in children older than seven years, the oxygen saturation index could be maintained at a level above 97.8%,regardless of the severity of the injury.The average hourly rates of oxygen saturation in the circadian rhythm were the highest in patients of group 3, which is associated with more active insufflation of concentrated oxygen-air mixtures due to the severity of the condition.A strong direct correlation was found between oxygen saturation Scientific research of the SCO countries: synergy and integrationInternational Conference and SBP (0.7), SV (0.66) and PBP (0.79) in group 2, which confirms the tendency to improve blood oxygenation with an increase in SV, SBP, PBP with a tendency to decrease in heart rate.Keywords: severe concomitant traumatic brain injury, circadian rhythm, oxygen saturation, school-age children.Relevance.The growth of traumatism increases not only the frequency, but also the severity of traumatic brain injury (TBI), which in 50-70% is combined with extracranial injuries.Mortality from concomitant traumatic brain injury (CTBI) ranges from 12 to 69%.The clinical picture and prognosis in acute combined TBI are determined by the localization, severity and volume of cerebral and extracranial traumatic injuries.The treatment of severe TSBI is based on careful and comprehensive intensive care, which includes a multimodal, protocolized approach that includes meticulous hemodynamic support, respiratory care, fluid management, and other aspects of therapy aimed at preventing secondary brain damage.The main goals of intensive care are prevention and treatment of intracranial hypertension and secondary brain injury, maintenance of cerebral perfusion pressure, and optimization of cerebral oxygenation.It has been established that an increase in the depth and frequency of external respiration in TSBI as a mechanism for compensating for developing hypoxia; an increase in cardiac output, intensification of tissue metabolism in order to mobilize additional energy resources can lead to secondary damage to the injured brain, the development of multiple organ failure syndrome [1][2][3][4][5].Due to the lack of information on changes in the oxygen saturation index, data on the reasons for the insufficient effectiveness of cerebral circulation correction, we made an attempt to study the features of changes in the oxygen saturation circadian rhythm index in the acute period of SCTBI in children aged 7.1-18 years. Purpose of work.To study the circadian rhythm of the oxygen saturation index in severe concomitant traumatic brain injury in children older than seven years.Material and research methods.The parameters of a comprehensive examination of 36 patients of school age (7-18 years old) with severe concomitant traumatic brain injuries (SCTBI) admitted to the intensive care unit (ICU) of the neurosurgical department of the Republican Scientific Center for Emergency Medical Care (RSCEMC) in the first hours after road traffic accident (RTA) -33, catatrauma -3 patients.Continuous hourly monitoring of hemodynamic parameters, including SBP, was carried out for 30 days after STBI.According to the indications, patients were started on invasive mechanical respiratory support (MRS) at admission.Mechanical respiratory support was started on artificial lung ventilation (ALV) for a long time, with subsequent transfer to SIMV.Restoration Scientific research of the SCO countries: synergy and integration International Conference 18 98,8±0,2 19 98,6±0,2 20 98,4±0,2 21 98,4±0,2 22 98,4±0,1 23 98,1±0,2* 24 98,2±0,3 25 98,5±0,3 26 98,3±0,2 27 98,6±0,4 28 98,3±0,3 29 98,3±0,2 30 98,6±0,3 *-certainly relatively score on the first day ‴-significantly relative to indicator in group 1 Table 2 Average Hourly Circadian Oxygen Saturation Hours 1 group 2 group 3 group Oxyg.sat/BH 0,06 -0,03 -0,34 Oxyg.sat/HR 0,59 -0,56 -0,14 Oxyg.sat/OVT 0,55 0,26 0,03 Oxyg.sat/SAD 0,48 0,70 0,20 Oxyg.sat/DAD 0,24 -0,18 -0,29 Oxyg.sat/PP 0,57 0,79 0,43 Oxyg.sat/MVP 0,60 0,10 -0,17 Oxyg.sat/PR -0,05 -0,18 -0,34 Oxyg.sat/IRT 0,38 0,48 0,20 Oxyg.sat/SV -0,10 0,66 0,55 Oxyg.sat/MAP 0,45 0,46 0,04 Oxyg.sat/TS 0,76 0,85 0,59 Scientific research of the SCO countries: synergy and integration
Institution: Siberian Federal University
Language: English
Subfield: Management, Monitoring, Policy and Law
Field: Environmental Science
Domain: Physical Sciences
Open Access status: gold
Funder: RUDN University
OpenAlex ID: W4405278643