Authors
Novikov V.N.1, Novikova N.V.2, Gorozhaninova E.V.2
1 Perm Clinical Centre of Federal Medical-Biological Agency, Perm
2 City Clinical Hospital n.a. SN Greenberg, Perm
Abstract
Goal: optimization of stage-by-stage rehabilitation of tracheostomated stroke patients and reduction of mortality in this patients group using of endoscopic technologies in the treatment process.
Materials and methods: the results of treatment of 216 patients with tracheostomy in the acute stage of ischemic stroke and hemorrhagic stroke were studied. Most of the patients had bulbar syndrome.
Results: properly organized and well performed application of endoscopic technologies and following the principles of respiratory care in the complex stage-by-stage rehabilitation of tracheostomized stroke patients allows to avoid significant tracheal complications, optimize the rehabilitation process and improve its results. Using the endoscopic control over the protective function of the larynx by inserting an endoscope through a tracheostomy fistula simplifies the study, allows timely correction of therapeutic tactics and decision-making.
Keywords: stroke, tracheostomy, endoscopic technologies, protective function of the larynx.
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