摘要 |
FIELD: medicine, resuscitation. ^ SUBSTANCE: intensive therapy should be carried out, moreover, it is necessary to register somatosensor evoked potentials (SSEP), measure inter-peak interval N13-N18 at spinal lesions at C1-C2 level, N11-N13 at lesion at C1-C6 level and N22-C30 at lesions at C7-L3 level. Then one should calculate average arterial pressure (APav) and prescribe pressure-regulating medicinal preparations. Then comes control SSEP registration and at decreased values of inter-peak intervals one should change the preparation applied and its dosage, at constant level of inter-peak intervals - the dosage should be increased, and at increased values of intervals - one should intensify therapy due to increasing the dosage or substituting the preparation applied. SSEP values should be evaluated after changing the dosage of the preparation applied and in dynamics of investigation on the 3d, 5th and 9th d and, also, in case of deterioration of patient's health state. It has been provided due to applying a high-sensitive value that reflects the state of spinal cord. ^ EFFECT: higher efficiency of prophylaxis. ^ 3 ex |