ABSTRACT
The article deals with a clinical case demonstrating that patient's elderly age is not an absolute contraindication for complex surgery in spite of high risk of postoperative complications. Early diagnostics, target treatment of the infection cite with vacuum-assisted therapy for wounds and the treatment of infectious complications based on individual characteristics of elderly patient with sepsis as an outcome of prosthetic thoracoabdominal aortic repair allowed avoiding multiple organ dysfunctions in the patient.
Subject(s)
Aortic Aneurysm, Thoracic/surgery , Empyema, Pleural/therapy , Multiple Organ Failure/prevention & control , Sepsis/therapy , Surgical Wound Infection/therapy , Aged , Empyema, Pleural/diagnosis , Empyema, Pleural/etiology , Female , Humans , Multiple Organ Failure/diagnosis , Multiple Organ Failure/etiology , Sepsis/diagnosis , Sepsis/etiology , Surgical Wound Infection/complications , Surgical Wound Infection/diagnosis , Treatment Outcome , Wound HealingABSTRACT
Recent technological advances in thoracic and tracheal surgery make the anaesthesiologist use different respiratory techniques during the operation. Apneic oxygenation is a one of alternative techniques. This method is relatively easy in use, does not require special expensive equipment and is the only possible technique in several clinical situations when other respiratory methods are undesirable or cannot be used. However there is no enough information about apneic oxygenation in Russian. This article reviews publications about apneic oxygenation. The review deals with experiments on diffusion respiration in animals, physiological changes during apneic oxygenation in man and defines clinical cases when apneic oxygenation can be used.
