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Relevance. Professionals working in extreme environments (army officers, police officers, pilots, divers, firefighters, rescue workers, etc.) are susceptible to overstraining their functional reserves, causing occupational overexposure or even death. It is therefore pivotal to optimize the functional condition of individuals working in extreme occupational environment.The objective is to analyse the prospects for xenon medical application, including to promote functional optimization and occupational resilience in professionals working in extreme occupational environment.Methods. The authors studied the research papers published in the Russian Science Citation Index [https://elibrary.ru/] and PubMed [https://pubmed.ncbi.nlm.nih.gov] over the last decade.Results and Discussion. Current research analysis has revealed numerous investigations regarding xenon application in addiction medicine, treatment of post-traumatic stress disorders, and improvement of physiological reserve and occupational resilience, as well as in anesthesiology. Regrettably, our review of Russian and international publications has failed to answer the pivotal issue regarding pharmacological mechanisms behind xenon action. A few research papers hypothesized without evidence that ionotropic glutamate receptors (NMDA-receptors) might be involved in antinociceptive effects.Conclusion. Xenon is a promise and can be appropriately applied in the treatment and rehabilitation of individuals working in extreme occupational environments.
Relevance. Professionals working in extreme environments (army officers, police officers, pilots, divers, firefighters, rescue workers, etc.) are susceptible to overstraining their functional reserves, causing occupational overexposure or even death. It is therefore pivotal to optimize the functional condition of individuals working in extreme occupational environment.The objective is to analyse the prospects for xenon medical application, including to promote functional optimization and occupational resilience in professionals working in extreme occupational environment.Methods. The authors studied the research papers published in the Russian Science Citation Index [https://elibrary.ru/] and PubMed [https://pubmed.ncbi.nlm.nih.gov] over the last decade.Results and Discussion. Current research analysis has revealed numerous investigations regarding xenon application in addiction medicine, treatment of post-traumatic stress disorders, and improvement of physiological reserve and occupational resilience, as well as in anesthesiology. Regrettably, our review of Russian and international publications has failed to answer the pivotal issue regarding pharmacological mechanisms behind xenon action. A few research papers hypothesized without evidence that ionotropic glutamate receptors (NMDA-receptors) might be involved in antinociceptive effects.Conclusion. Xenon is a promise and can be appropriately applied in the treatment and rehabilitation of individuals working in extreme occupational environments.
Introduction. Stress reaction in deadly scenarios is a systemic response of human body to the impact of extreme and acute psychotraumatic factors. The condition is associated with complete or partial loss of ability to perform tasks and can lead to the development of post-traumatic stress disorder. Therefore, new effective means and methods of stress correction in lethal force scenarios is a most urgent challenge for catastrophe medicine.The objective is to estimate the therapeutic efficacy of xenon gas mixtures in the treatment of different categories of employees exposed to occupational hazards, including acute stress.Methodology. A randomized controlled experimental study was conducted, involving 48 employees of law enforcement bodies and rescue operations professionals. Acute stress disorders were treated using a course of oxygen-xenon gas mixture inhalations (oxygen – 75 %, xenon – 25 %). Comprehensive medical and psychological examination allowed to monitor treatment efficiency.Results and discussion. Oxygen-xenon gas mixture inhalations contributed to normalization of systemic hemodynamics, improved parasympathetic activity and reduced sympathetic nervous system activity, leading to a significant reduction in the level of anxiety and improvement of psychopathological symptoms.Conclusion. The obtained findings provide extra evidence showing that xenon-based gas mixtures are a promise as a stress correction tool in patients exposed to lethal force scenarios and acute occupational hazard.
Introduction. The authors present their experience in experimental and clinical studies on the application of Xenon (Xe) in subnarcotic concentrations for pain relief and for the treatment of acute stress disorders. Preparing wounds for plastic closure in children is a long and painful process which requires many anesthesia procedures during dressings. It leads to cognitive disorders, affects memory and learning potentials. Every third child who survived a severe trauma suffers of acute stress disorders: bad sleep, emotional imbalance, anxiety, asociality, inappropriate actions. Xenon is a non-toxic anesthetic. In the concentration of 20–50%, it is not only anesthetizes, but also decreases acute stress disorders, has sedative and anti-stress effects and normalizes sleep.Objectives. To study literature data on the potentials of gas Xe in subnarcotic concentrations for pain relief and for decreasing acute stress disorders at the stage of preparing a child for plastic closure of a wound defect.Material and methods. Literature search was done in PubMed, Scopus, eLIBRARY, Cyberleninka in English and Russian using key words: “Xenon”, “Xenon and anesthesia”, “Xenontherapy” “Actions of Xenon”, “Treatment of extensive wounds in children”, “Acute stress disorders”.Results. The analysis of the data of the conducted studies showed the non-toxicity of Xe, which makes it possible to use it repeatedly for anesthesia in children. The fact that Xe reduces the manifestations of anxiety, depressive and psychosomatic symptoms in patients with acute and chronic stress disorders allows us to count on its positive effects in the treatment of children with extensive wounds of traumatic origin at the stage of preparing them for plastic closure.Conclusion. The practical absence in the available scientific literature of a study to assess the effectiveness of the use of subnarcotic concentrations of Xe, when dressing extensive wounds at the stage of preparation of the wound process for plastic closure in children with acute stress disorders, justifies the conduct of an appropriate scientific study.
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