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RESUSCITATION

One of the sections of intensive care medicine is revivification of the organism in sudden premature dying.

Rapid development of pharmacology in the course of the last several decades was the cause of the fact that methods of treatment almost in all branches of medicine were subject to pharmacotherapy.

However, the main condition of success of pharmacologic methods of treatment is a transportation of medicinal agents to their target destination, the ability of adequate reaction of organ to this agent and maintenance of the viability of the organ in the period, separating the moment of medicine administration up to the manifestation of its positive effect.

None of these conditions can be fulfilled, if the activities of the lungs as the transmitter of gases and cardiac operation as the pump, able to transfer these gases together with the drugs to the target destination, have discontinued, therefore, one cannot expect any effect from the use of pharmacologic agents alone.

Awareness of these facts by anesthesiologists has led to radical changes in rescue tactics. In situations of immediate threat of death if the systems of respiration and blood circulation are functionally the first to come to a standstill, the emphasis of medical measures is moved to a mechanical replacement of absent functions realized first of all. Pharmacologic agents will start to exert their effect only when the lost functions of the lungs and heart are temporarily replaced by means of APV and cardiac massage.

If we speak of clinical death when, from the onset of circulatory arrest to the death of cerebral cortex, are only 3-6 min held in reserve, the first aid may be rendered, in fact, only by the persons found themselves, by chance, nearby the victim. Limitation of time, moral and organizational unpreparedness and often a medical one require a knowledge of theory and practice of resuscitation, first and foremost, by the doctors of all specialities with subsequent training of population. Only when the population is ready to fulfil basic resuscitation techniques, we may expect a certain success in the fight against a premature and sudden, biologically unjustified, death.

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