title: [Tracheostomy in the process of prolonged artificial pulmonary ventilation in patients with polytrauma].
abstract: One of modern tendencies of carrying out long ALV of patients with polytrauma is application of "early" tracheostomy. Thus optimum terms of early tracheostomy are defined indistinctly and vary from 2 to 10 days from beginning of ALV. It is established that at predicted long ALV of patients with polytrauma optimum terms of tracheostomy performance is the second period of traumatic illness (12-48 hours from the moment of getting trauma). Tracheostomy, executed for patients with polytrauma for the purpose of maintenance long AL V in early terms, promotes improvement of gases diffusion, microcirculation in lungs, improvement of system of external breath as a whole and it is accompanied by decrease in frequency of development life danger infectious pulmonary complications and lethality reduction.
authors.forename: I M
authors.initials: IM
authors.lastname: Samokhvalov
authors.forename: S V
authors.initials: SV
authors.lastname: Gavrilin
authors.forename: V I
authors.initials: VI
authors.lastname: Badalov
authors.forename: S V
authors.initials: SV
authors.lastname: Nedomolkin
authors.forename: D P
authors.initials: DP
authors.lastname: Meshakov
authors.forename: K N
authors.initials: KN
authors.lastname: Khrapov
authors.forename: M A
authors.initials: MA
authors.lastname: Vasil'ev
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000628:therapy*; D012123:Pulmonary Ventilation; D012121:Respiration, Artificial / Q000379:methods*; D013997:Time Factors; D014139:Tracheostomy / Q000379:methods*