The Use of a Modern Algorithm for Prevention of Late Complications in Acute Poisoning with Acetic Acid
Acetic acid has a local cauterizing effect like coagulation necrosis and significant resorptive hemato-, nephro- and hepatotoxic effect due to hemolysis of erythrocytes, development of toxic coagulopathy, syndrome of disseminated intravascular coagulation. Developing severe hypoxia, microcirculation...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2018-11-01
|
| Series: | Неотложная медицинская помощь |
| Subjects: | |
| Online Access: | https://www.jnmp.ru/jour/article/view/509 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849410448457203712 |
|---|---|
| author | R. N. Akalayev A. A. Stopnitsky |
| author_facet | R. N. Akalayev A. A. Stopnitsky |
| author_sort | R. N. Akalayev |
| collection | DOAJ |
| description | Acetic acid has a local cauterizing effect like coagulation necrosis and significant resorptive hemato-, nephro- and hepatotoxic effect due to hemolysis of erythrocytes, development of toxic coagulopathy, syndrome of disseminated intravascular coagulation. Developing severe hypoxia, microcirculation disorder, and impaired liver and kidney function significantly worsen proliferative processes in the area of chemical burn, leading to the development of such serious complications as late esophageal and gastric bleeding and cicatrical stenosis of the esophagus and stomach. Therefore, the prevention of these complications should include not only local treatment of the burn surface, but also complex therapy aimed at restoring the function of affected organs at the early hospital stage and rehabilitation stage. The article describes the case of practical application of an intensive care algorithm, which includes the use of microcirculation improvers, Cytoflavin — an antihypoxant on the basis of succinic acid, Actovegin — a stimulant of proliferation, prolonged use of glucocorticoids, active nutritional support with a protein-carbohydrate mixture, all initiated upon arrival. |
| format | Article |
| id | doaj-art-2b0cdd8b67c046579489fa7827caa57a |
| institution | Kabale University |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2018-11-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-2b0cdd8b67c046579489fa7827caa57a2025-08-20T03:35:07ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172018-11-017326526810.23934/2223-9022-2018-7-3-265-268460The Use of a Modern Algorithm for Prevention of Late Complications in Acute Poisoning with Acetic AcidR. N. Akalayev0A. A. Stopnitsky1Republican Scientific Center of Emergency Medical CareRepublican Scientific Center of Emergency Medical CareAcetic acid has a local cauterizing effect like coagulation necrosis and significant resorptive hemato-, nephro- and hepatotoxic effect due to hemolysis of erythrocytes, development of toxic coagulopathy, syndrome of disseminated intravascular coagulation. Developing severe hypoxia, microcirculation disorder, and impaired liver and kidney function significantly worsen proliferative processes in the area of chemical burn, leading to the development of such serious complications as late esophageal and gastric bleeding and cicatrical stenosis of the esophagus and stomach. Therefore, the prevention of these complications should include not only local treatment of the burn surface, but also complex therapy aimed at restoring the function of affected organs at the early hospital stage and rehabilitation stage. The article describes the case of practical application of an intensive care algorithm, which includes the use of microcirculation improvers, Cytoflavin — an antihypoxant on the basis of succinic acid, Actovegin — a stimulant of proliferation, prolonged use of glucocorticoids, active nutritional support with a protein-carbohydrate mixture, all initiated upon arrival.https://www.jnmp.ru/jour/article/view/509acetic acidpoisoninghemolysischemical burntherapy algorithmantihypoxantsglucocorticoidsnutritional support |
| spellingShingle | R. N. Akalayev A. A. Stopnitsky The Use of a Modern Algorithm for Prevention of Late Complications in Acute Poisoning with Acetic Acid Неотложная медицинская помощь acetic acid poisoning hemolysis chemical burn therapy algorithm antihypoxants glucocorticoids nutritional support |
| title | The Use of a Modern Algorithm for Prevention of Late Complications in Acute Poisoning with Acetic Acid |
| title_full | The Use of a Modern Algorithm for Prevention of Late Complications in Acute Poisoning with Acetic Acid |
| title_fullStr | The Use of a Modern Algorithm for Prevention of Late Complications in Acute Poisoning with Acetic Acid |
| title_full_unstemmed | The Use of a Modern Algorithm for Prevention of Late Complications in Acute Poisoning with Acetic Acid |
| title_short | The Use of a Modern Algorithm for Prevention of Late Complications in Acute Poisoning with Acetic Acid |
| title_sort | use of a modern algorithm for prevention of late complications in acute poisoning with acetic acid |
| topic | acetic acid poisoning hemolysis chemical burn therapy algorithm antihypoxants glucocorticoids nutritional support |
| url | https://www.jnmp.ru/jour/article/view/509 |
| work_keys_str_mv | AT rnakalayev theuseofamodernalgorithmforpreventionoflatecomplicationsinacutepoisoningwithaceticacid AT aastopnitsky theuseofamodernalgorithmforpreventionoflatecomplicationsinacutepoisoningwithaceticacid AT rnakalayev useofamodernalgorithmforpreventionoflatecomplicationsinacutepoisoningwithaceticacid AT aastopnitsky useofamodernalgorithmforpreventionoflatecomplicationsinacutepoisoningwithaceticacid |