Open AccessBreathing disorders during artificial lung ventilation in case of central nervous system damage
Author(s) -
М. Г. Чеченин,
В. Я. Мартыненков,
В. В. Ломиворотов,
Sergey Efremov,
М. Н. Дерягин,
Vladimir Shmyrev,
И. К. Раткин,
Е. В. Фоминский
Publication year - 2015
Publication title -
patologiâ krovoobraŝeniâ i kardiohirurgiâ/patologiâ krovoobrašeniâ i kardiohirurgiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 3
eISSN - 2500-3119
pISSN - 1681-3472
DOI - 10.21688/1681-3472-2014-2-42-48
Subject(s) - medicine , central nervous system , spinal cord , ventilation (architecture) , breathing , spinal cord injury , lung , respiratory system , nervous system , control of respiration , anesthesia , mechanical engineering , psychiatry , engineering
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 C 1 -C 5 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 C 1 -C 5 level. An algorithm for correction of respiratory disorders is proposed.