Way of security control procedures hyperbaric oxygenation

 

(57) Abstract:

The invention relates to medicine, cardiology. Patients record the ECG during hyperbaric oxygenation. Every 120-180 to calculate the dispersion of the QT interval. With the increase in the dispersion of 1.2 or more times compared to the original judge the potential danger of further procedures. The method allows to detect the initial, minor violations in the myocardium and timely corrected.

The invention relates to medicine, in particular to oxygen therapy, and can be used to control the security procedures of hyperbaric oxygenation (HBO).

There is a method of security control procedures HBO on clinical parameters, i.e., the patient's complaints and heart rate (Manual of hyperbaric oxygenation Ed. by S. N. Epuni, -M.: Medicine, 1986, s. (S. 68 and 73)).

The disadvantage of this method is the lack of precision.

There is a method of security control procedures HBO according to electrocardiography, i.e. in the presence of arrhythmias, changes the terminal portion of QRs complex, ST segment depression and inversion of the T wave) and overload right the LASS="ptx2">

The disadvantages of this method, taken as a prototype, is its lack of sensitivity, allowing you to capture only a relatively "coarse" abnormalities in the myocardium, which is not always possible to effectively correct that it is not possible to sufficiently improve the security procedures HBO.

The essence of the invention lies in the fact that according to the way of security control procedures, hyperbaric oxygen therapy, including monitoring electrocardiographic indicators, as electrocardiographic indicators use the dispersion of the QT interval, which is measured before the treatment and every subsequent 120-180 with, and with the increase in the dispersion of the QT interval 1.2 or more times compared to the original judge the potential danger of further procedures.

The proposed method of monitoring security procedures hyperbaric oxygenation allows to detect the initial, minor violations in the myocardium and in a timely manner to correct, which significantly improves the safety of the procedure HBO.

The method is as follows.

Before the course of hyperbaric oxygenation and chawki "Quintet", allow to record the electrocardiogram directly during the procedure giperbaricheskoi oxygenation, and determine the dispersion of the QT interval on the well-known method (J. P. Nikitin, A. A. Kuznetsov. The dispersion of the QT interval. - Cardiology, 1998, 5, S. 58-61.), and with the increase in the dispersion of the QT interval 1.2 or more times compared to the original judge the potential danger of further procedures HBO.

Examples of specific implementation of the method.

Example 1. Patient C., 49 years old, diagnosis: Ischemic heart disease, angina, FC-II, blockade of the left bundle branch, N.-I. prior To the procedure HBO dispersion of the QT interval is 0.06 C, after 180 s - 0,09 C. the conclusion about the potential danger of further procedures HBO, the procedure is terminated, the recommended GCE in conditions of reduced partial pressure of oxygen or the holding of medication therapy.

Example 2: the Patient O., 55 years old, diagnosis: Ischemic heart disease, angina, FC-IV, H-IIA. Concomitant disease: Obliterating endarterial, amputation of the left tibia. Prior to the procedure HBO dispersion of the QT interval - 0,09 s, 900 s - 0,12 C. the conclusion about the potential danger of further predeclared or holding of drug therapy.

Way of security control procedures, hyperbaric oxygen therapy, including monitoring electrocardiographic indices, characterized in that as electrocardiographic indicators use the variance of the QT interval, which is measured before the treatment and every subsequent 120-180 with, and with the increase in the dispersion of the QT interval 1.2 or more times compared to the original judge the potential danger of further procedures.

 

Same patents:

Climatic chamber // 2218140
The invention relates to medicine and can be used for the prevention and treatment of respiratory diseases

The invention relates to medicine, namely to treatment areas with artificial climate and devices designed for patient care, in particular used in the conservative treatment in the hyperbaric patients to heal the injuries of the limbs or their elongation of the used device external transosseous fixation

The invention relates to medicine, namely to methods of providing emergency medical care and treatment of prolonged compression syndrome

The invention relates to medical equipment and can be used for the treatment of patients by the method of hypobaric hypoxia

The invention relates to medicine and can be used in the practice of Spa and medical institutions

The invention relates to medicine, hyperbaric physiology, and can be used to increase the effectiveness of hyperbaric oxygenation

The invention relates to medicine and can be used to normalize the activity of the endocrine and immune systems of humans, for the treatment of diseases of the respiratory and cardiovascular systems, as well as for treatment of air microflora in confined spaces
How pneumomassage // 2202322
The invention relates to medicine, namely to therapy, and can be used in the treatment of various diseases of humans and farm animals, birds and fur-bearing animals, accompanied by vascular sclerosis, impaired skin vystelennyh reflexes and poor tone of muscle tissues
How aeroionotherapy // 2198696
The invention relates to medicine and can be used in the treatment of patients with bronchial asthma, hypertension in the early stages, patients with acute and chronic catarrh of the upper and lower respiratory tract

The invention relates to medicine, particularly cardiology

The invention relates to medicine, in particular to the experimental cardiology

The invention relates to medicine, neurology, cardiology

The invention relates to medicine, cardiology and functional diagnostics

The invention relates to medicine, cardiology

The invention relates to medicine, cardiology

The invention relates to medicine, cardiology

FIELD: medicine, cardiology.

SUBSTANCE: one should register rhythmocardiogram, measure current total power in low-frequency and high-frequency areas of dynamic row of cardiointervals. Evaluation of psychophysiological state should be performed by the value of stress index S calculated due to original mathematical formula by taking into account the power of low-frequency and high-frequency constituents of the range of dynamic row of cardiointervals. In case of standard conditions of measurement - the rest lying at one's back position the value of S stress index should be considered to be equal to 1. The method enables to rapidly and noninvasively detect and range human psychophysiological state.

EFFECT: higher accuracy of evaluation.

2 dwg, 1 ex, 2 tbl

Up!