28 -4 (90) 2026 - Sadikova M.A., Eraliev M.Y. - ASSESSMENT OF ANESTHESIOLOGICAL RISK IN PATIENTS WITH MULTIPLE INJURIES: SYSTEMATIC ANALYSIS AND CRITICAL APPRAISAL

ASSESSMENT OF ANESTHESIOLOGICAL RISK IN PATIENTS WITH MULTIPLE INJURIES: SYSTEMATIC ANALYSIS AND CRITICAL APPRAISAL

Sadikova M.A. - Andijan State Medical Institute

Eraliev M.Y. - Republican Scientific Center for Emergency Medical Care Namangan Branch

Resume

Prognostic scales used for assessing the severity of multiple injuries and functional impairments are based on various criteria, each having its advantages and limitations. Anatomically based scales (ISS, NISS, APS), scales evaluating functional status (GCS, RTS, APACHE II), as well as combined clinico-anatomical indices (TRISS) are utilized to assess injury severity and mortality risk. The ASA classification and other independent criteria are also analyzed, comparing their capabilities, limitations, effectiveness, and prognostic significance in assessing anesthetic risk.

Keywords: polytrauma, multiple injuries, trauma mortality prediction, lethal outcome in polytrauma, injury severity scoring systems and scales, anesthetic risk, ISS, NISS, TRISS, APACHE II, GCS, RTS, ASA classification.

First page

190

Last page

201

For citation:Sadikova M.A., Eraliev M.Y. - ASSESSMENT OF ANESTHESIOLOGICAL RISK IN PATIENTS WITH MULTIPLE INJURIES: SYSTEMATIC ANALYSIS AND CRITICAL APPRAISAL//New Day in Medicine 4(90)2026 190-201 https://newdayworldmedicine.com/en/new_day_medicine/4-90-2026

List of References

1. Apfelbaum JL, Connis RT, Nickinovich DG, et al. Practice advisory for preanesthesia evaluation: an updated report by the ASA Task Force. Anesthesiology. 2011;114(3):522–538. doi:10.1097/ALN.0b013e3182091eb4.
2. Holcomb JB, McMullin NR, Pearse L, et al. Causes of death in U.S. Special Operations Forces in the global war on terrorism: 2001–2004. Ann Surg. 2007;245(6):986–991. doi:10.1097/SLA.0b013e3180c8e429.
3. Rotondo MF, Cribari C, Smith RS. Damage control sequence and underlying logic. In: Mattox KL, Feliciano DV, Moore EE, eds. Trauma. 4th ed. New York: McGraw-Hill; 2000:907–931.
4. Vincent JL, Moreno R, Takala J, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. Intensive Care Med. 1996;22(7):707–710. doi:10.1007/BF01709751.
5. Siao CJ, Liu JC. Artificial intelligence in trauma care: current applications and future directions. J Trauma Acute Care Surg. 2019;86(4):656–664. doi:10.1097/TA.0000000000002227.
6. Seliverstov PA, Shapkin YuG. Оценка тяжести и прогнозирование исхода политравмы: современное состояние проблемы (обзор). Современные технологии в медицине. 2017;9(2). Available from: https://www.stm-journal.ru/ru/numbers/2017/2
7. Dubrov VE, Blazhenko AN, Khanin MYu, Gorbunov IA, et al. Реализация принципа динамического контроля повреждений (damage control) в остром периоде политравмы. Политравма. 2012;(2):68–73.
8. Boyko IV, Zaft VB, Lazarenko GO. Организация экстренной медицинской помощи пострадавшим с политравмой на этапах медицинской эвакуации. Медицина неотложных состояний. 2013;(2/49):77–84.
9. Yuen DHF, Cheng VWK. Анестезиологические соображения у пациентов с политравмой. Anesteziologiya i intensivnaya terapiya. 2024. doi:10.1016/j.mpaic.2024.06.016.
10. Teasdale G, Maas AIR, Lecky F, et al. The Glasgow Coma Scale at 40 years: standing the test of time. Lancet Neurol. 2014;13(8):844–854. doi:10.1016/S1474-4422(14)70120-6.

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