Gas exchange function and mechanical properties of the lungs in victims with traumatic brain compression

Abstract

Aim of the study. To determine the role of mechanical, respiratory and gas exchange functions of the lungs in victims with traumatic brain compression (TCC) and its dependence on the severity of the injury

Material and methods of the study. The study was performed on 45 patients with TSCM aged 18 to 60 years admitted to the Department of Adult Anesthesiology and Resuscitation of the National Medical Center of Dushanbe (NMC “Shakhraki Shifobakhsh”) for the period from 2015 to 2017. Patients with TSCM, according to the level of loss of consciousness according to Glazko’s coma [4], were divided into 3 groups, 15 people in each. Loss of consciousness according to the Glazko scale in the 1st group was estimated at 13.4 ± 0.76 points, in the 2nd - at 10.4 ± 1.06 points and in the 3rd it was estimated at 6.6 ± 1.03 points. Results of the study and their discussion. During the dynamic assessment of changes in the respiratory mechanical pattern of the lungs and gas exchange, the features of the course of acute respiratory failure were studied depending on the stage in victims with severe cerebral compression (SCCI).

Conclusion. Thus, our studies have shown that with severe cerebral compression, due to changes in the function of external respiration during the development of respiratory failure after severe traumatic injuries, more pronounced changes in the gas exchange and mechanical properties of the lungs are observed compared to healthy contingents, which leads to an increase in respiratory failure, the severity of which depends on the severity of the traumatic brain injury.