Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
[Anesthesiologist-resuscitator: problems of training and maintenance of professional work].
The problems of psychological disturbances and insufficient profeccional skills amongst anaesthesiologists and intensive care specialists are discussed. The authors emphasized the need for special psychological education during refreshing courses and training period in residency. ⋯ The proper organization of the workplace is very important for successful performance and psychological condition of the personnel. The lack of profeccional Russian-language journals makes necessity for creation of a new textbook and periodical issue in paper and electronic format.
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An analysis of 2376 case histories of patients with surgical infections has shown that in 827 (34.8%) patients the course of main disease was complicated by sepsis. The most frequent causes of the development of sepsis were surgical infections with localization in the abdominal cavity, lungs and mediastinum. ⋯ The annual growth of this category of patients was 8.3%. The outcome of abdominal sepsis was shown to depend on the score number according to scales APACHE II and SOFA, and on the timely operative treatment and beginning of antibacterial therapy.
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
[Model of prognosis of outcome of burn trauma on the basis of probit-analysis].
On the basis of probit-analysis of results of treatment of 10,670 burned patients a prognostic model of the trauma outcome was created as a coordinate network. The model is very accurate, sensitive, specific and simple in use that allows it to be applied for prognosis of burn trauma outcomes in the early period after trauma, especially in organization of medical-evacuation work in places of appearance of mass burns. The model is a standard for the assessment of new protocols of treatment and can serve a criterion of the efficiency of work of intensive care units in burn centers.
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
[Surgical strategy for combined gun-shot wounds of extremities with injuries of main arteries].
An investigation of materials of treatment of 130 wounded with combined wounds (CW) of extremity blood vessels during war in Afghanistan and in counter-terrorist operations in the Northern Caucasus has shown that the specific feature of surgical treatment of wounds of the extremity arteries associated with severe wounds of other localizations consists in limited possibilities to save the extremities. The scale MESS of a severity of extremity wounds was improved. ⋯ A. Kornilov classification of the severity of acute ischemia and a FS-MESS scale of extremity injuries.