Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


The dynamics of oxygen transport, depending on the method of anesthesiain patients with coronary heart disease during operations geometricalreconstruction of the left ventricle by V. Dor in conjunctionwith coronary artery bypass grafting

Authors: A.F. Farzutdinov, M.V. Zatevakhina, I.V. Savchenko, I.R. Ibragimov

Company:
A.N. Bakoulev Scientific Center for Cardiovascular Surgery, Ministry of Health of the Russia, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

Link: Clinical Physiology of Blood Circulaiton. 2015; (): -

Quote as: Farzutdinov A.F., Zatevakhina M.V., Savchenko I.V., Ibragimov I.R.. The dynamics of oxygen transport, depending on the method of anesthesia in patients with coronary heart disease during operations geometrical reconstruction of the left ventricle by V. Dor in conjunction with coronary artery bypass grafting. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2015; 4: 15-25 (in Russ.)

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Abstract

Objective. Study of perioperative dynamics of the main indicators of oxygen transport – shipping, consumption rate of oxygen utilization and their components, as well as the dynamics of indicators of blood lactate in patients with coronary heart disease, operated under bypass by using two different methods of anesthesia – high thoracic epidural anesthesia (HTEA) and multi-component of general anesthesia.

Material and methods. Investigations were carried out in 62 patients with extremely high anesthetic risk who underwent reconstruction of the post-infarction left ventricular aneurysm V. Dor procedure using a patch of xenopericard in conjunction with coronary artery bypass grafting.

Results. Throughout the intraoperative and early postoperative period stated achieve the desired basic components of oxygen transport (cardiac output, hemoglobin, blood oxygenation indices) in the group using HTEA without the need for circulatory support and sub-toxic doses of cardiotonic drugs.

Conclusion. Inclusion in the scheme of anesthesia HTEA at a geometric reconstruction of the left ventricular an V. Dor reduces the metabolic changes caused by the need for more aggressive therapy cardiotonic to stabilize the central hemodynamics in a traditional multi-component of general anesthesia, without impacting significantly on the performance of oxygen transport.


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