MODERN WAYS OF INJECTION MEDICAL PRODUCTS WHILE PERFORMING CARDIOPULMONARY AND CEREBRAL RESUSCITATION IN THE PREHOSPITAL PHASE

Authors

  • R. M. Liakhovych SHEF “ Ternopil State Medical University by I.Ya. Horbachevsky of MPH of Ukraine”
  • M. Ya. Dzus SHEF “ Ternopil State Medical University by I.Ya. Horbachevsky of MPH of Ukraine”
  • Ya. M. Kitsak SHEF “ Ternopil State Medical University by I.Ya. Horbachevsky of MPH of Ukraine”
  • O. K. Badrah SHEF “ Ternopil State Medical University by I.Ya. Horbachevsky of MPH of Ukraine”
  • V. M. Savchuk SHEF “ Ternopil State Medical University by I.Ya. Horbachevsky of MPH of Ukraine”
  • P. P. Novikova SHEF “ Ternopil State Medical University by I.Ya. Horbachevsky of MPH of Ukraine”

DOI:

https://doi.org/10.11603/1681-2786.2017.2.8104

Keywords:

cardiopulmonary and cerebral resuscitation, sudden cardiac arrest, intravenous injection of medicine, puncture, central venous catheterization, intraosseous access, intra-arterial, intracardiac routes of administration of medications.

Abstract

Resume. The article reviews the current methods of injection medicines into the patient's body when performing cardio-pulmonary and cerebral resuscitation. Attention is drawn to the urgency of finding alternative methods of pre-intravenous drug injection on the background of resuscitation, which are carried out at the prehospital stage.

The implementation of the basic algorithms of modern clinical protocol of a sudden stoppage of blood circulation requires speedy venous access. The lack of circulation is the negative factor, which significantly complicates and often makes impossible the successful implementation of this methodology.

Objective. Investigate and analyze alternative to the intravenous route of administration of medications at sudden stoppage of blood activities in terms of teams of emergency (emergency) medical aid.

Materials and methods of research. Was conducted the detailed analysis of alternative methods of pre-intravenous methods of administering drugs, their comparative characteristics, advantages and disadvantages, taking into account their practical availability, cost, adaptation to the age profile of victims in a state of clinical death. Considerable attention is directed to the using of modern, simple and highly effective method of intraosseous injection of drugs using bon injectors.

 

Results. A detailed analysis of the methods and ways of introduction of medicines at sudden stoppage of blood circulation by the doctors of emergency medical care produced that internally-osseous access is the most effective method of injection medications during the performance resuscitation. Next in efficiency, complexity of implementation is internally bone access.

Today this method is considered a good alternative to other methods, are achieved the therapeutic effect of drugs, similar to that with intravenous infusion.

The main advantage of is internally bone access, compared to the studied (endotracheal, internally of the heart, intra-arterial), which are complex in technique and threaten the development of significant complications, is the possibility of its use for infants and young children. Also, this method is a good alternative to other techniques because is achieved high-quality therapeutic effect of medicines.

Conclusions. High-quality theoretical training, the availability of the necessary modern medical equipment, practical professional development standard and modern alternative methods of injection medicines at sudden stoppage of blood circulation by doctors of emergency medical care will promote to perform the basic tenets of clinical protocols of treatment of the terminal condition and, consequently, will eventually lead to decrease in pre-hospital and early hospital mortality.

Prospects for further research. It is planned to explore and bring efficiency from the use of alternative intubation and modern methods of securing the airway for the quality of adequate artificial ventilation in severe forms of acute respiratory failure, including respiratory failure.

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Published

2017-09-26

How to Cite

Liakhovych, R. M., Dzus, M. Y., Kitsak, Y. M., Badrah, O. K., Savchuk, V. M., & Novikova, P. P. (2017). MODERN WAYS OF INJECTION MEDICAL PRODUCTS WHILE PERFORMING CARDIOPULMONARY AND CEREBRAL RESUSCITATION IN THE PREHOSPITAL PHASE. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (2). https://doi.org/10.11603/1681-2786.2017.2.8104

Issue

No. 2 (2017)

Section

Organization of medical care

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