UA27804U - Method for preventing respiratory complications after surgery in lungs and pleura - Google Patents

Abstract

A method for preventing the respiratory complications after surgery in lungs and pleura provides for the use of the broad spectrum antibiotic. The first dose is administered prior to the beginning of the surgery. The artificial lung ventilation is performed in CMV+S mode, namely, in the setting of the conventional artificial lung ventilation, the periodical inflation by the double volume each 50th breath is executed with two-drainage draining of the pleural cavity, postoperative oxygen therapy and the sanitation fibrobronchoscopies (when required). Three broad spectrum antibiotics are used for 7 days: Amicacin 1.0 g, Ceftriaxon 1.0 g, and Levofoxacin 0.8 g followed by the parenteral administration of the specific antibiotic selected after the assessment of the sensitivity of the plated bacteria. At the end of the surgery, the sanitation fibrobronchoscopy is performed. Mucolytics, antibioal tree. The drainages are connected to aspiration soon after the ribs are converged. The lungs are inflated gradually by the double volume as long as the air is going through the drainages. Postoperatively, acetyl cysteine is prescribed.