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


Infusion solutions used in CABG operations

Authors: Khinchagov D.Ya., Rybka M.M.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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DOI: https://doi.org/10.24022/1814-6910-2022-19-2-119-126

UDC: 616.12-005.4-036.12-089.86:615.355

Link: Clinical Physiology of Blood Circulaiton. 2022; 2 (19): 119-126

Quote as: Khinchagov D.Ya., Rybka M.M. Infusion solutions used in CABG operations. Clinical Physiology of Circulation. 2022; 19 (2): 119–26 (in Russ.). DOI: 10.24022/1814-6910-2022-19-2-119-126

Received / Accepted:  30.07.2021 / 28.02.2022

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Abstract

Infusion therapy is one of the most important components of the anesthetic management of coronary artery bypass surgery. Adequate compensation of intravascular volume is a crucial factor affecting the results of surgical interventions. In this case, not only the volume of the infusion, but also the composition of the infusion solutions is essential. Currently, for infusion therapy, balanced crystalloid solutions or a combination of balanced crystalloid solutions with gelatin or albumin are used. The choice of solutions used for infusion therapy may affect the frequency of postoperative complications.

This article provides information about the main infusion solutions currently used in coronary artery bypass surgery. Their advantages and disadvantages, their impact on hemodynamics, the hemostatic system, the amount of blood loss, the need for blood transfusion and, ultimately, on the results of treatment are analyzed.

About Authors

  • Dzhumber Ya. Khinchagov, Cand. Med. Sci., Anesthesiologist-Intensivist; ORCID
  • Mikhail M. Rybka, Dr. Med. Sci., Deputy Director of Anesthesiology and Resuscitation, Head of Department of Anesthesiology and Resuscitation; ORCID

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