Respiratory rehabilitation: modern methods of separation of the patient from the respirator


DOI: https://dx.doi.org/10.18565/therapy.2019.5.104-110

Krylov V.V., Petrikov S.S., Solodov A.A., Mekhia Mekhia E.D., Malyavin A.G.

1) A.I. Yevdokimov Moscow State University of medicine and dentistry of the Ministry of Healthcare of Russia 2) N.V. Sklifosovsky scientific research institute of first aid of the Department of Healthcare Services of Moscow
Current article discusses the main problems of the modern implementation of artificial lung ventilation (ALV), highlights the criteria for the patient’s readiness for separation from ALV unit, the methods of this separation and difficulties arising during that application. The main recommendation for separation from the respirator is individual selection of the method, careful monitoring of the patient’s condition at all stages of rehabilitation.
Keywords: separation of the patient from respiratory support, respiratory rehabilitation, artificial lung ventilation
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About the Autors

Vladimir V. Krylov, MD, professor, academician of RAS, director of the clinic of A.I. Yevdokimov Moscow State University of medicine and dentistry of the Ministry of Healthcare of Russia, head of the Department of neurosurgery and neurologic reanimation of A.I. Yevdokimov Moscow State University of medicine and dentistry of the Ministry of Healthcare of Russia, the chief neurosurgeon of the Russian Federation. Address: 111398, Moscow, Vladenie 1A/4 Kuskovskaya Str. Tel.: +7 (495) 713-90-90. E-mail: manuscript@inbox.ru
Sergey S. Petrikov, MD, professor of RAS, director of N.V. Sklifosovsky scientific research institute of first aid of the Department of Healthcare Services of Moscow, head of the Department of anesthesiology, reanimatology and emergency medicine of faculty of additional professional education of A.I. Yevdokimov Moscow State University of medicine and dentistry of the Ministry of Healthcare of Russia. Address: Moscow, 25/2 Petrovka Str. Tel.: +7 (495) 694-27-08. E-mail: petrikovss@zdrav.mos.ru
Alexander A. Solodov, MD, deputy director of the clinic of A.I. Yevdokimov Moscow State University of medicine and dentistry of the Ministry of Healthcare of Russia for scientific work, associate professor of the Department of anesthesiology, intensive care and emergency medicine of faculty of additional professional education of A.I. Yevdokimov Moscow State University of medicine and dentistry of the Ministry of Healthcare of Russia, anesthesiologist-resuscitator of the intensive care unit for neurosurgical patients of N.V. Sklifosovsky scientific research institute of first aid of the Department of Healthcare Services of Moscow. Address: 111398, Moscow, Vladenie 1A/4 Kuskovskaya Str. Tel.: +7 (495) 713-90-90. E-mail: docsol@mail.ru
Esther D. Mekhia Mekhia, head of intensive care Department for neurosurgical patients of N.V. Sklifosovsky scientific research institute of first aid of the Department of Healthcare Services of Moscow. Address: 129010, Moscow, 3 Bolshaya Sukharevskaya pl. Str. E-mail: mekhia@list.ru
Andrey G. Malyavin, MD, professor of the Department of phthisiology and pulmonology of A.I. Yevdokimov Moscow State University of medicine and dentistry of the Ministry of Healthcare of Russia, general secretary of the Russian scientific mpedical society, chief non-staff pulmonologist of the Ministry of Healthcare of Russia in the Central Federal District. Address: 127473, Moscow, 20/1 Delegatskaya Str. Tel.: +7 (916) 547-83-73. E-mail: maliavin@mail.ru

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