Vol. 18 No. 2 (2014)
ANESTHESIOLOGY & RESUSCITATION

Breathing disorders during artificial lung ventilation in case of central nervous system damage

PDF (Русский)
  • M. Chechenin,
  • V. Martynenkov,
  • V. Lomivorotov,
  • Ye. Fominskiy,
  • S. Yefremov,
  • M. Deryagin,
  • V. Shmyrev,
  • I. Ratkin
M. Chechenin
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Martynenkov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Lomivorotov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
Ye. Fominskiy
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
S. Yefremov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
M. Deryagin
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Shmyrev
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
I. Ratkin
Novokuznetsk State Institute of Advanced Medical Training
Bio
DOI: https://doi.org/10.21688/1681-3472-2014-2-42-48

Published 2014-06-10

Keywords

  • CENTRAL NERVOUS SYSTEM,
  • NEUROGENIC VENTILATION DISORDERS,
  • REGULATION OF BREATHING,
  • MECHANICAL VENTILATION,
  • SPONTANEOUS BREATHING

How to Cite

Chechenin, M., Martynenkov, V., Lomivorotov, V., Fominskiy, Y., Yefremov, S., Deryagin, M., Shmyrev, V., & Ratkin, I. (2014). Breathing disorders during artificial lung ventilation in case of central nervous system damage. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 18(2), 42–48. https://doi.org/10.21688/1681-3472-2014-2-42-48

Copyright (c) 2014 Chechenin M.G., Martynenkov V.Ya., Lomivorotov V.V., Fominskiy Ye.V., Yefremov S.M., Deryagin M.N., Shmyrev V.A., Ratkin I.K.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

The study focuses on breathing disorders in 119 patients with central nervous system (CNS) injuries that needed artificial lung ventilation for more than 1 day. 65% of patients had apneic, hypopneic and hyperpneic types of regulation of respiration (TRR). The normopneic type was the most favorable for survival, while the apneic one was unfavorable. It was established that a brain injury at hemispherical, diencephalic levels and low brain stem leads to the development of all TRR, while the apneic type occurs only in patients with the diffuse lesions of CNS and spinal injuries at the C1-C5 level, with complications developing in the main disease. The hypopneic type occurs more often in patients with injuries of the spinal cord and cerebrovascular disease. The hyperpneic TRR does not occur in patients with spinal cord lesions at the C1-C5 level. An algorithm for correction of respiratory disorders is proposed.

PDF (Русский)

References

  1. Maas A.I., Marmarou A., Murray G.D., Teasdale S.G., Steyerberg E.W. // J. Neurotrauma. 2007. № 24. Р. 232-240.
  2. Lee K., Rincon F. Critical Care Research and Practice. 2012.
  3. Kiphuth I.C., Schellinger P.D., Khrmann M. et al. // Critical Care. 2010. № 14. Р. 136
  4. Berney S., Bragge P., Granger C. et al. // Spinal Cord. 2011. V. 49. № 1. Р. 17-29.
  5. Howard R.S., Rudd A.G., Wolfe C.D., Williams A.J. // Postgrad. Med. J. 2001. № 77. Р. 700-702.
  6. Неговский В.А., Гурвич А.М., Золотокрылина Е.С. Постреанимационная болезнь. М., 1987.
  7. Марини Д.Д., Уиллер А.П. Медицина критических состояний. М., 2002.
  8. Benditt J.O. // Respir. Care. 2006. V. 51. № 8. P. 829-837.
  9. Чеченин М.Г., Раткин И.К., Денисов Э.Н. и др. // Анестезиология и реаниматология. 2007. № 4. С. 38-42.
  10. Чеченин М.Г., Ломиворотов В.В., Полукаров А.Н. и др. // Патология кровообращения и кардиохирургия. 2013. № 3. С. 35-39.
  11. Чеченин М.Г., Мартыненков В.Я., Денисов Э.Н. // Анестезиология и реаниматология. 2004. № 4. С. 56-59.
  12. Weinhouse G., Watson P. // Crit. Care Clin. 2009. V. 25. Р. 539-549.
  13. Spahija J., de Marchie M., Albert M. et al. // Crit. Care Med. 2010. V. 38. № 2. Р. 518-526.
  14. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients MRC CRASH Trial Collaborators // BMJ | ONLINE FIRST | bmj.com.
  15. Kondili E., Prinianakis G., Georgopoulos D. // British J. Anaesthesia. 2003. № 91. Р. 106-125.