21 -1 (33) 2021 — Koyirov A.K., Boltayev E.B. — NON-INVASIVE LUNG VENTILATION IN ACUTE RESPIRATORY FAILURE CAUSED BY NEW CORONAVIRUS INFECTION COVID-19

NON-INVASIVE LUNG VENTILATION IN ACUTE RESPIRATORY FAILURE CAUSED BY NEW CORONAVIRUS INFECTION COVID-19

Koyirov A.K. -Republican Specialized Center Zangiota N:1 Bukhara State Medical Institute.

Boltayev E.B. -Republican Specialized Center Zangiota N:1 Bukhara State Medical Institute.

Shirinov D.K. -Republican Specialized Center Zangiota N:1 Bukhara State Medical Institute.

Rakhimov M.M. -Republican Specialized Center Zangiota N:1 Bukhara State Medical Institute.

Jalilov A.A. -Republican Specialized Center Zangiota N:1 Bukhara State Medical Institute.

Resume

Relevance. Treatment of acute respiratory distress syndrome caused by coronavirus infection remains an urgent problem in the world community.Objective of the study: Improving the results of treatment of patients with acute respiratory failure by differentiated use of non-invasive ventilation methods.Material and methods: In the intensive care unit of the Zangiot infectious diseases hospital No. 1 from 08.2020 to 11.2020, 124 patients with COVID-19 and complicated acute respiratory failure were examined, of which 68 were men and 56 women. The male to female ratio was 4: 3. The patients’ age is from 67 to 87 years. (average age 60.8 ± 4.8).The patients were divided into three groups depending on the type of respiratory therapy.As a result of the study, the tidal volume (TO) was 319.59 ± 7.74 ml in the CPAP mode and 329.47 ± 7.15 ml in the DUAL-LEVEL mode. On the third day, DO increased by 18.8% in CPAP mode and by 23.2% in DUAL- LEVEL mode. In phase III of the study, DO increased in both groups and increased to 521.31 ± 13.83 ml in the CPAP mode and to 583.77 ± 15.37 ml in the DUAL-LEVEL mode, that is, in the DUAL-LEVEL mode, the DO was by 10 , 6% higher than in CPAP mode.Conclusion: Both modes of non-invasive pulmonary ventilation give positive clinical results, improve indicators of central hemodynamics, normalize blood gas composition and parameters of external respiration. In this case, DUAL-LEVEL mode is much more effective than CPAP mode.

Key words: COVID-19, acute respiratory failure, non-invasive ventilation, external respiration

First page

107

Last page

114

For citation: Koyirov A.K., Boltayev E.B.,Shirinov D.K., Rakhimov M.M., Jalilov A.A Non-invasive lung ventilation in acute respiratory failure caused by new coronavirus infection covid-19//New Day in Medicine 1(33)2021 107-114 https://cutt.ly/nzlySdM

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