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Contraindications for hospitalization to the department of anesthesiology and IC

1. Absolute:

A) infectious patients when their isolation is not possible;

B) incurable diseases in their terminal stage (oncologic patients, chronic hepatic insufficiency, hepatic cirrhosis and others).

2. Relative:

A) mental diseases, if mental disorder is not associated with the acute pathology (injury, poisoning, hypoxia);

B) chronic diseases beyond exacerbation threatening life;

C) patients having no need in carrying out IC.
Equipping the departments of anesthesiology and IC:

1. Anesthesia equipment of various modification.

2. Breathing equipment from simple apparatuses (Ambou's bag, MRA-2) to electrical respirators of RO, "Phasa", "Vdokh" types, as well as those operating from gas pressure (Pneumat, Lada, Mlada).

3. Medical equipment: defibrillators, cardiostimulators, electric and mechanical suction units, artificial kidney, equipment for an extracorporal detoxication (plasmapheresis, hemosorption), ultraviolet irradiation of blood, different dosing devices to administer medicinal substances, ultrasonic inhaler and others.

4. Diagnostic equipment: cardiomonitors, ward X-ray unit, EEG, echoencephalography (EchoEG), electrocardiographs, oximeters, recording oximeters,polarographs, thrombelastograph, blood gas analyzer, ABB- and electrolytes analyzers, as well as equipment for carrying out routine laboratory investigations, Waldmann's apparatus to measure CVP.

5. Auxiliary equipment: thermocabinets, drying chambers, refrigerators, freezing chambers.

6. Surgical beds.

7. Kits for venesection, percutaneous puncture and catheterization of great veins, kits for epidural and spinal anesthesia, tracheostomy, for tracheal intubation. Catheters for catheterization of great and peripheral veins, urinary bladder, kits for gastric lavage, enteroclysis, for enemas, medical spring balance (it is better bed balance), stands for systems, cabinets for medicaments safekeeping, tables for surgical dressings, as well as a routine kit of medical instruments, systems, syringes and so on.

A kit of medicaments — a twenty-four-hour supply of blood preparations (packed red cells of all blood groups, freshly frozen plasma, albumin, sera for blood group determination).

Blood substitutes: crystalloids (physiologic salt solution; 10% NaCl; 3% KC1; 5% sodium carbonate), 5-10-20% glucose, dextrans and macromolecular starches, solutions for parenteral feeding (lipid emulsions, balanced amino acid solutions), hormonal agents (hydrocortisone, prednisolone, dexasone, insulin), heparin, activators of fibrinolysis, hypotensive agents, hemostatics, diuretics and many others.

It is advisable to have a complete set for anesthesia under field conditions in case of extreme situations.

The name of spaces of IC department and specifications for them are presented in Table 1.

Table 1

Specifications for spaces in the intensive care department*

* Approved by the Decree of the State Committee of the USSR Council of Ministers on issues of construction dated from 17.05.1978, No.92.

Table 1 (continued)

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