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Biomedical subjects

A L Kostiuchenko

Publications and source records attributed to A L Kostiuchenko.

At least 91 records · Page 5Linked to original sources
PubMedDate not supplied

[Empirical antimicrobial chemoprophylaxis and chemotherapy of infections in surgical patients].

Philosophy of antibacterial chemotherapy (ACT) in threatened and developing infection in surgical patients is formulated, based on clinical experience and analysis of published reports. Indications for ACT and choice of drugs during and after various surgical interventions are discussed. A variant of a protocol of antibiotic therapy is presented. Errors and inaccuracies in ACT are discussed.

Anti-Bacterial Agents↗
PubMedDate not supplied

[Algorithm of cardiopulmonary resuscitation in a cardiological hospital].

Recent comments and amendments to routine algorithm of P. Safar's cardiopulmonary resuscitation, known as the ABCD principle, are critically analyzed. The primary mechanisms of thanatogenesis in sudden death in the majority of cases are not respiratory problems (requiring ABCD algorithm), but cardiac rhythm disorders. Based on their studies and practical and training experience, the authors suggest a new algorithm of cardiopulmonary resuscitation: UNIVERSAL, with the following steps: precordial stroke, indirect massage of the heart, forced ventilation of the lungs, venipuncture, electrocardiography, defibrillation by electric pulse therapy, electrocardiostimulation, and injections of adrenalin, atropine, and lidocaine. Introduction of this algorithm decreased hospital mortality of acute coronary patients, increased the rate of reanimation of suddenly dead patients, and reduced the incidence of iatrogenic complications of resuscitation.

Algorithms↗
PubMedDate not supplied

[Several problems of pathogenesis and treatment of pulmonary gangrene].

The pathology and clinical picture of gangrene of the lungs were studied in detail in 213 patients in the specialized surgical department of the clinic of hospital surgery of the Kirov Military-Medical Academy from 1969 to 1987. The diffuse from of the disease (DLG) was encountered in 111 patients and the localized form (LLG) in 102 patients. The indications for various methods of treatment of lung gangrene are formulated. Lung resection was performed most frequently (in 67% of patients). Intensive preoperative therapy including hyperbaric oxygenation is necessary for most patients with gangrene of the lungs. Total mortality was 39.6% among patients with DLG and 16.6% among those with LLG. Mortality among patients with DLG after resection of the lungs was 34.1%. Study of the late-term results showed that 130 (61%) patients were alive, 64 (30%) had died from the main disease and its complications and 7 (3.5%) from other causes, the fate of 12 (5.7%) persons was not known.

Adult↗