Current Approaches to the Intensive Care of Decompensated Gastrointestinal Dysfunction in Patients with Traumatic Brain Injury Combined with Injuries of Bones

Abstract

Intensive care in patients with traumatic brain injury combined with bone trauma due to the high mortality of patients with this pathology remains a challenging clinical problem. The article shows the effects of a differentiated approach to the intensive care for uncompensated gastrointestinal dysfunction on the disease course in patients with traumatic brain injury combined with trauma of skeletal bones. At the time of the research, there were formed two groups of patients, who did not differ among themselves by the severity of their state and the severity of the underlying disease. Both groups received the same treatment; in addition, patients of the second group underwent selective decontamination of the intestines. The results of the research draw attention to a lower mortality and more rapid regression of the severity of the patients’ state, reducing the manifestations of the multiple organ failure syndrome and syndrome of gastrointestinal dysfunction in patients of the second group. So, according to the results of the study, selective decontamination of the intestines has a positive effect on the state of patients with traumatic brain injury associated with the trauma of bones of the skeleton, who have signs of decompensated syndrome of gastrointestinal dysfunction, and makes it possible to reduce the mortality and complication rate, to shorten treatment time.