Infusion therapy for pneumonia: what’s new?

Authors

  • V.V. Nikonov Kharkiv Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Kharkiv, Ukraine
  • K.I. Lyzohub Kharkiv Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Kharkiv, Ukraine
  • M.V. Lyzohub State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.16.2.2020.203138

Keywords:

review, pneumonia, infusion therapy, septic shock

Abstract

Due to the increasing incidence of pneumonia, its severe course and the development of complications, its mixed viral and bacterial etiology, as well as declaration of COVID-19 a pandemic by the World Health Organisation, modern guidelines have been developed on the clinical picture, course, treatment, respiratory support and rehabilitation of patients with COVID-19. The difference in the course of severe pneumonia is the rapid development of acute respiratory distress syndrome on the background of immunodeficiency. The data of the literature review on the treatment of patients with pneumonia are presented: views on the need for infusion therapy and its complications, the use of vasopressors. Data on the treatment of patients with endogenous intoxication syndrome and clear indications for the use of sympathomimetics in septic shock are given. These studies have shown that the use of Rheosorbilact in combination therapy reduces the incidence of acute respiratory distress syndrome, the volume of infusion required to stabilize hemodynamics, promotes the movement of fluid from the interstitium to the bloodstream, helps remove excess fluid, reduces the level of major markers of intoxication. Such properties of Rheosorbilact indicate a positive effect of its use in the comprehensive treatment of pneumonia and septic shock.

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Published

2020-04-30

How to Cite

Nikonov, V., Lyzohub, K., & Lyzohub, M. (2020). Infusion therapy for pneumonia: what’s new?. EMERGENCY MEDICINE, 16(2), 31–36. https://doi.org/10.22141/2224-0586.16.2.2020.203138

Issue

Section

Scientific Review