Artificial nose ventilation in patients with severe combined head injury with artificial pulmonary ventilation

Abstract

Traumatism has always been one of the most important medical and social problems of the present-day world. Scientific and technical progress inevitably resulted in more frequent occurrence and more severe character of the traumas suffered by the population both in everyday life and at production site and during armed conflicts. In this article the emphasis is put on the contingent of patients with the combined craniofacial trauma (CT) who have been provided artificial pulmonary ventilation (APV) for a long time, which in turn results in disorder of perirhinal sinuses aeration, has harmful effect on mucociliary transportation system, and the subsequent development of stagnation in sinuses. The article presents functional changes of mucous membrane in such patients depending on the damage severity and APV duration. Based on the experience the authors elaborated an algorithm of treatment of victims using of the method of artificial nose ventilation.