DYNAMIC ASSESSMENT OF THE FUNCTIONS OF MUCOCILIARY CLEARANCE IN PATIENTS WITH AN INTUBATION TUBE AND NASOGASTRAL PROBE

The functional state of the nasal mucosa in patients was assessed by MTS time using visual (methylene blue) indicators according to S.Z. Piskunov et al. 75 patients with various pathologies and brain injuries in serious condition were examined. The patients were divided into groups: 1st group - patients with severe TBI; 2nd patients with TBI and nasogastric tube (NGT); 3rd patients with severe TBI and nasotracheal intubation (NTI); and the 4th group with TBI and orotracheal intubation (OTI) and the control group, these are patients in the intensive care unit without TBI. We found that when NTI and NGT are in the nasal cavity for more than 4-5 days, there is a risk of nosocomal sinusitis. This alarms us to take preventive measures to prevent sinusitis nosocomia from the first day after hospitalization of the patient.