Научно-практический журнал
«Клиническая физиология кровообращения»

Главный редактор

Лео Антонович Бокерия, доктор медицинских наук, профессор, академик РАН и РАМН, президент ФГБУ «НМИЦ ССХ им. А.Н. Бакулева» МЗ РФ


Инфузионные растворы, применяемые при операциях аортокоронарного шунтирования

Авторы: Хинчагов Д.Я., Рыбка М.М.

Организация:
ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева» Минздрава России, Москва, Российская Федерация

Для корреспонденции: Сведения доступны для зарегистрированных пользователей.

Раздел: Обзоры

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

УДК: 616.12-005.4-036.12-089.86:615.355

Библиографическая ссылка: Клиническая физиология кровообращения. 2022; 2 (19): 119-126

Цитировать как: Хинчагов Д.Я., Рыбка М.М. . Инфузионные растворы, применяемые при операциях аортокоронарного шунтирования. Клиническая физиология кровообращения. 2022; 2 (19): 119-126. DOI: 10.24022/1814-6910-2022-19-2-119-126

Ключевые слова: аортокоронарное шунтирование, инфузионные растворы, послеоперационные осложнения

Поступила / Принята к печати:  30.07.2021 / 28.02.2022

Полнотекстовая версия:  

Аннотация

Инфузионная терапия – один из важнейших компонентов анестезиологического обеспечения операций аортокоронарного шунтирования. Адекватное возмещение внутрисосудистого объема является решающим фактором, влияющим на результаты хирургических вмешательств. При этом существенное значение имеет не только объем инфузии, но и состав инфузионных растворов. В настоящее время для инфузионной терапии применяются сбалансированные кристаллоидные растворы или комбинация сбалансированных кристаллоидных растворов с желатином или альбумином. Выбор применяемых растворов для проведения инфузионной терапии может повлиять на частоту послеоперационных осложнений.

В данной статье приведены сведения об основных инфузионных растворах, используемых в настоящее время при операциях аортокоронарного шунтирования. Проанализированы их преимущества и недостатки, влияние на гемодинамику, систему гемостаза, величину кровопотери, потребность в гемотрансфузии и в конечном итоге на результаты лечения.

Литература

  1. Miller T.E., Myles P.S. Perioperative fluid therapy for major surgery. Anesthesiology. 2019; 130: 825–32. DOI: 10.1097/ALN.0000000000002603
  2. Черний В.И. Роль и место альбумина в современной инфузионно-трансфузионной терапии. Медицина неотложных состояний. 2017; 1 (80): 23–31. DOI: 10.22141/2224-0586.1.80.2017.94448
  3. Romagnoli S., Rizza A., Ricci Z. Fluid status assessment and management during the perioperative phase in adult cardiac surgery patients. J. Cardiothorac Vasc. Anesth. 2016; 30 (4): 1076–84. DOI: 10.1053/j.jvca.2015.11.008
  4. Feldheiser A., Pavlova V., Bonomo T., Jones A., Fotopoulou C., Sehouli Jet al. Balanced crystalloid compared with balanced colloid solution using a goal-directed haemodynamic algorithm. Br. J. Anaesth. 2013; 110 (2): 231–40. DOI: 10.1093/bja/aes377
  5. Lobo D.N., Stanga Z., Aloysius M.M., Wicks C., Nunes Q.M., Ingram K.L. et al. Effect of volume loading with 1 liter intravenous infusions of 0.9% saline, 4% succinylated gelatine (Gelofusine) and 6% hydroxyethyl starch (Voluven) on blood volume and endocrine responses: a randomized, three-way crossover study in healthy volunteers. Crit. Care Med. 2010; 38 (2): 464–70. DOI: 10.1097/CCM.0b013e3181bc80f1
  6. Yates D.R., Davies S.J., Milner H.E., Wilson R.J. Crystalloid or colloid for goal-directed fluid therapy in colorectal surgery. Br. J. Anaesth. 2014; 112 (2): 281–9. DOI: 10.1093/bja/aet307
  7. Dubois M.J., Vincent J.L. Colloid fluids. In: Hahn R.G., Prough D.S., Svensen C.H. (eds). Perioperative fluid therapy. 1st edn. New York: Wiley; 2007: 153–611.
  8. Mitra S., Khandelwal P. Are all colloids same? How to select the right colloid? Indian J. Anaesth. 2009; 53: 592–607. PMID: 20640110
  9. Muller L., Le Frant J.Y. Metabolic effects of plasma expanders. Transf. Alt. Transf. Med. 2010; 11 (3): 10–21. DOI: 10.1111/j.1778-428X.2010.01137
  10. Hahn R.G., Lyons G. The half-life of infusion fluids. Eur. J. Anaesthesiol. 2016; 33: 475–82. DOI: 10.1097/EJA.0000000000000436
  11. Joshi G.P. Intraoperative fluid management. UpToDate. Feb 03.2020.
  12. Navickis R.J., Haynes G.R., Wilkes M.M. Effect of hydroxyethyl starch on bleeding after cardiopulmonary bypass: a meta-analysis of randomized trials. J. Thorac. Cardiovasc. Surg. 2012; 144 (1): 223–30. DOI: 10.1016/j.jtcvs.2012.04.009
  13. Hassan M.H., Hassan W.M.N.W., Zaini R.H.M., Shukeri W.F.W.M., Abidin H.Z., Eu C.S. Balanced fluid versus saline-based fluid in post-operative severe traumatic brain injury patients: acid-base and electrolytes assessment. Malays J. Med. Sci. 2017; 24 (5): 83–93. DOI: 10.21315/mjms2017.24.5.9
  14. Hanley C., Callum J., McCluskey S., Karkouti K., Bartoszko J. et al. Albumin use in bleeding cardiac surgical patients and associated patient outcomes. Can. J. Anesth. J. Can. Anesth. 2021; 68: 1514–26. DOI: 10.1007/s12630-021-02070-7
  15. Huaiwu He, Dawei Liu, Can Ince. Colloids and the microcirculation. Anesth. Analg. 2018; 126 (5): 1747–54. DOI: 10.1213/ANE.0000000000002620
  16. Ермолаева К.Р., Лазарев В.В. Клинически значимые аспекты коллоидных препаратов в инфузионной терапии. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2013; 3 (2): 89–97.
  17. Chappell D., Jacob M., Hofmann-Kiefer K., Conzen P., Rehm M. A rational approach to perioperative fluid management. Anesthesiology. 2008; 109: 723–40. DOI: 10.1097/ALN.0b013e3181863117
  18. Hilbert-Carius P., Schwarzkopf D., Reinhart K., Hartog C.S., Lefering R., Bernhard M., Struck M.F. Synthetic colloid resuscitation in severely injured patients: analysis of a nationwide trauma registry (TraumaRegister DGU). Scientific Reports. 2018; 8: 11567. DOI: 10.1038/s41598-018-30053-0
  19. Finfer S., Liu B., Taylor C., Bellomo R., Billot L., Cook D. et al.; SAFE TRIPS Investigators. Resuscitation fluid use in critically ill adults: an international cross-sectional study in 391 intensive care units. Crit. Care. 2010; 14: 185. DOI: 10.1186/cc9293
  20. Hartog C.S., Natanson C., Sun J., Klein H.G., Reinhart K. Concerns over use of hydroxyethyl starch solutions. B. M. J. 2014; 349: 5981. DOI: 10.1136/bmj. g5981
  21. Allen C.J., Ruiz X.D., Meizoso J.P., Ray J.J., Livingstone A.S., Schulman C.I. et al. Is hydroxyethyl starch safe in penetrating trauma patients? Mil. Med. 2016; 181: 152–5. DOI: 10.7205/MILMED-D-15-00132
  22. Leberle R., Ernstberger A., Loibl M., Merkl J., Bunz M., Creutzenberg M. et al. Association of high volumes of hydroxyethyl starch with acute kidney injury in elderly trauma patients. Injury. 2015; 46 (1): 105–9. DOI: 10.1016/j.injury.2014.08.039
  23. Rasmussen K.C., Secher N.H., Pedersen T. Effect of perioperative crystalloid or colloid fluid therapy on hemorrhage, coagulation competence, and outcome: a systematic review and stratified meta-analysis. Medicine (Baltimore). 2016; 95 (31): 4498. DOI: 10.1097/MD.0000000000004498
  24. Kozek-Langenecker S.A. Effects of hydroxyethyl starch solutions on hemostasis. Anesthesiology. 2005; 103: 654–60. DOI: DOI: 10.1097/00000542-200509000-00031
  25. Bayer O., Schwarzkopf D., Doenst T., Cook D., Kabisch B., Schelenz C. et al. Perioperative fluid therapy with tetrastarch and gelatin in cardiac surgery – a prospective sequential analysis. Crit. Care Med. 2013; 41: 2532–42. DOI: 10.1097/CCM.0b013e3182978fb6 26.
  26. Moeller C., Fleischmann C., Thomas-Rueddel D., Vlasakov V., Rochwerg B., Theurer P. et al. How safe is gelatin? A systematic review and meta-analysis of gelatin-containing plasma expanders vs crystalloids and albumin. J. Crit. Care. 2016; 35: 75–83. DOI: 10.1016/j.jcrc.2016.04.011
  27. Farooque S., Kenny M., Marshall S.D. Anaphylaxis to intravenous gelatin-based solutions: a case series examining clinical features and severity. Anaesthesia. 2019; 74 (2): 174–9. DOI: 10.1111/anae.14497
  28. Mårtensson J., Bellomo R. Are all fluids bad for the kidney? Curr. Opin. Crit. Care. 2015; 21: 292–301. 126 Reviews Clinical Physiology of Circulation. 2022; 19 (2). DOI: 10.24022/1814-6910-2022-19-2-119-126
  29. Pisano A., Landoni G., Bellomo R. The risk of infusing gelatin? Die-hard misconceptions and forgotten (or ignored) truths. Minerva Anestesiol. 2016; 82 (10): 1107–14. PMID: 27045639
  30. Food and drug administration. List of drug products that have been withdrawn or removed from the market for reasons of safety or effectiveness. 63 FR 54082. 1998. Available at: https://www.gpo.gov/fdsys/pkg/FR-1998- 10-08/pdf/98-26923.pdf (accessed 30.06.2021)
  31. Moman R.N., Gupta N., Varacallo M. Physiology, albumin. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. PMID: 29083605
  32. Clarke G., Yan M. Clinical guide to transfusion. Chapter 3. Albumin. Canadian Blood Services. 2018. Available at: https://professionaleducation.blood.ca/en/transfusion/guide-clinique/albumin (accessed June 2021) 33. Martenssona J., Bellomoa R. Are all fluids bad for the kidney? Curr. Opin. Crit. Care. 2015; 21 (4): 292–301. DOI: 10.1097/MCC.0000000000000214
  33. Moret E., Jacob M.W., Ranucci M., Schramko A.A. Albumin – beyond fluid replacement in cardiopulmonary bypass surgery: why, how, and when? Sem. Cardiothorac. Vasc. Anesth. 2014; 18 (3): 252–9. DOI: 10.1177/1089253214535667
  34. Vlasov H., Juvonen T., Hiippala S., Suojaranta R., Peltonen M., Schramko A. et al. Effect and safety of 4% albumin in the treatment of cardiac surgery patients: study protocol for the randomized, double-blind, clinical ALBICS (ALBumin In Cardiac Surgery) trial. Trials. 2020; 21 (1): 235. DOI: 10.1186/s13063-020- 4160-3
  35. Frenette A.J., Bouchard J., Bernier P., Charbonneau A., Nguyen L.T., Rioux J.-P. et al. Albumin administration is associated with acute kidney injury in cardiac surgery: a propensity score analysis. Crit. Care. 2014; 18: 602. DOI: 10.1186/s13054-014-0602-1
  36. Paar M., Rossmann C., Nusshold C., Wagner T., Schlagenhauf A., Leschnik B. et al. Anticoagulant action of low, physiologic, and high albumin levels in whole blood. PLoS One. 2017; 12 (8): e0182997. DOI: 10.1371/journal.pone.0182997
  37. Rasmussen K.C., Højskov M., Johansson P.I., Kridina I., Kistorp T., Salling L. et al. Impact of albumin on coagulation competence and hemorrhage during major surgery: a randomized controlled trial. Medicine (Baltimore). 2016; 95 (9): e2720. DOI: 10.1097/MD.0000000000002720
  38. Haynes G.R., Bassiri K. Hyper-oncotic vs. hypooncotic albumin solutions: a systematic review of clinical efficacy and safety. SN Compr. Clin. Med. 2021; 3: 1137–47. DOI: 10.1007/s42399-021-00755-0
  39. Campos Munoz A., Jain N.K., Gupta M. Albumin colloid. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. PMID: 30480974 41. Aronson S., Nisbet P., Bunke M. Fluid resuscitation practices in cardiac surgery patients in the USA: a survey of health care providers. Perioper. Med. 2017; 6: 15. DOI: 10.1186/s13741-017-0071-6
  40. Kingeter A.J., Raghunathan K., Munson S.H., Hayashida D.K., Zhang X., Iyengar S. et al. Association between albumin administration and survival in cardiac surgery: a retrospective cohort study. Can. J. Anaesth. 2018; 65 (11): 1218–27. DOI: 10.1007/s12630-018-1181-4
  41. Wigmore G.J., Anstey J.R., St John A., Greaney J., Morales-Codina M., Presneill J.J. et al. 20% Human albumin solution fluid bolus administration therapy in patients after cardiac surgery (the HAS FLAIR Study). J. Cardiothorac. Vasc. Anesth. 2019; 33 (11): 2920–7. DOI: 10.1053/j.jvca.2019.03.049 44.
  42. Hanley C., Callum J., Karkouti K., Bartoszko J. Albumin in adult cardiac surgery: a narrative review. Can. J. Anaesth. 2021; 68 (8): 1197–213. DOI: 10.1007/s12630-021-01991-7
  43. Otero T., Aljure O., Yu S. Fluid resuscitation after cardiac surgery: is hypertonic saline or hyperoncotic albumin the future? Authorea. 2020. DOI: 10.22541/au.159285504.41880019
  44. Carvalho A.R., Guizilini S., Murai G.M., Begot I., Rocco I.S., Hossne N.A. Jr. et al. Hemodynamic changes during heart displacement in aorta no-touch off-pump coronary artery bypass surgery: a pilot study. Braz. J. Cardiovasc. Surg. 2018; 33 (5): 469–75. DOI: 10.21470/1678-9741-2018-0090
  45. Joosten A., Delaporte A., Ickx B., Touihri K., Stany I., Barvais L. et al. Crystalloid versus colloid for intraoperative goal-directed fluid therapy using a closed-loop system: a randomized, double-blinded, controlled trial in major abdominal surgery. Anesthesiology. 2018; 128: 55. DOI: 10.1097/ALN.0000000000001936
  46. Joosten A., Delaporte A., Mortier J., Ickx B., Van Obbergh L., Vincent J.L. et al. Long-term impact of crystal-loid versus colloid solutions on renal function and disability-free survival after major abdominal surgery. Anesthesiology. 2019; 130: 227. DOI: 10.1097/ALN.0000000000002501
  47. Kabon B., Sessler D.I., Kurz A. Crystalloid-colloid study team. Effect of intraoperative goal-directed balanced crystalloid versus colloid administration on major postoperative morbidity: a randomized trial. Anesthesiology. 2019; 130: 728. DOI: 10.1097/ALN.0000000000002601
  48. Milford E.M., Reade M.C. Resuscitation fluid choices to preserve the endothelial glycocalyx. Crit. Care. 2019; 23: 77. DOI: 10.1186/s13054-019-2369-x
  49. Мальцева Л.А., Мищенко Е.А., Мосенцев Н.Ф., Мальцев И.А., Бондаренко Н.С. Роль гликокаликса в регуляции проницаемости сосудов: пересмотренный принцип Старлинга. Медицина неотложных состояний. 2019; 6 (101): 16–21. DOI: 10.22141/2224-0586.6.101.2019.179593
  50. Malbrain M.L.N.G., Langer T., Annane D., Gattinoni L., Elbers P., Hahn R.G. et al. Intravenous fluid therapy in the perioperative and critical care setting: executive summary of the International Fluid Academy (IFA). Ann. Intensive Care. 2020; 10: 64. DOI: 10.1186/s13613-020-00679-3
****
  1. Miller T.E., Myles P.S. Perioperative fluid therapy for major surgery. Anesthesiology. 2019; 130: 825–32. DOI: 10.1097/ALN.0000000000002603
  2. Cherniy V.I. The role and place of albumin in modern infusion-transfusion therapy. Emergency Medicine. 2017; 1 (80): 23–31 (in Russ.). DOI: 10.22141/2224-0586.1. 80.2017.94448
  3. Romagnoli S., Rizza A., Ricci Z. Fluid status assessment and management during the perioperative phase in adult cardiac surgery patients. J. Cardiothorac Vasc. Anesth. 2016; 30 (4): 1076–84. DOI: 10.1053/j.jvca.2015.11.008
  4. Feldheiser A., Pavlova V., Bonomo T., Jones A., Fotopoulou C., Sehouli Jet al. Balanced crystalloid compared with balanced colloid solution using a goal-directed haemodynamic algorithm. Br. J. Anaesth. 2013; 110 (2): 231–40. DOI: 10.1093/bja/aes377
  5. Lobo D.N., Stanga Z., Aloysius M.M., Wicks C., Nunes Q.M., Ingram K.L. et al. Effect of volume loading with 1 liter intravenous infusions of 0.9% saline, 4% succinylated gelatine (Gelofusine) and 6% hydroxyethyl starch (Voluven) on blood volume and endocrine responses: a randomized, three-way crossover study in healthy volunteers. Crit. Care Med. 2010; 38 (2): 464–70. DOI: 10.1097/CCM.0b013e3181bc80f1
  6. Yates D.R., Davies S.J., Milner H.E., Wilson R.J. Crystalloid or colloid for goal-directed fluid therapy in colorectal surgery. Br. J. Anaesth. 2014; 112 (2): 281–9. DOI: 10.1093/bja/aet307
  7. Dubois M.J., Vincent J.L. Colloid fluids. In: Hahn R.G., Prough D.S., Svensen C.H. (eds). Perioperative fluid therapy. 1st edn. New York: Wiley; 2007: 153–611.
  8. Mitra S., Khandelwal P. Are all colloids same? How to select the right colloid? Indian J. Anaesth. 2009; 53: 592–607. PMID: 20640110
  9. Muller L., Le Frant J.Y. Metabolic effects of plasma expanders. Transf. Alt. Transf. Med. 2010; 11 (3): 10–21. DOI: 10.1111/j.1778-428X.2010.01137
  10. Hahn R.G., Lyons G. The half-life of infusion fluids. Eur. J. Anaesthesiol. 2016; 33: 475–82. DOI: 10.1097/EJA.0000000000000436
  11. Joshi G.P. Intraoperative fluid management. UpToDate. Feb 03.2020.
  12. Navickis R.J., Haynes G.R., Wilkes M.M. Effect of hydroxyethyl starch on bleeding after cardiopulmonary bypass: a meta-analysis of randomized trials. J. Thorac. Cardiovasc. Surg. 2012; 144 (1): 223–30. DOI: 10.1016/j.jtcvs.2012.04.009
  13. Hassan M.H., Hassan W.M.N.W., Zaini R.H.M., Shukeri W.F.W.M., Abidin H.Z., Eu C.S. Balanced fluid versus saline-based fluid in post-operative severe traumatic brain injury patients: acid-base and electrolytes assessment. Malays J. Med. Sci. 2017; 24 (5): 83–93. DOI: 10.21315/mjms2017.24.5.9
  14. Hanley C., Callum J., McCluskey S., Karkouti K., Bartoszko J. et al. Albumin use in bleeding cardiac surgical patients and associated patient outcomes. Can. J. Anesth. J. Can. Anesth. 2021; 68: 1514–26. DOI: 10.1007/s12630-021-02070-7
  15. Huaiwu He, Dawei Liu, Can Ince. Colloids and the microcirculation. Anesth. Analg. 2018; 126 (5): 1747–54. DOI: 10.1213/ANE.0000000000002620 16. Ермолаева К.Р., Лазарев В.В. Клинически значимые аспекты коллоидных препаратов в инфузионной терапии. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2013; 3 (2): 89–97. Ermolaeva K.R., Lazarev V.V. Clinically significant aspects of colloidal drugs in fluid therapy. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2013; 3 (2): 89–97 (in Russ.).
  16. Chappell D., Jacob M., Hofmann-Kiefer K., Conzen P., Rehm M. A rational approach to perioperative fluid management. Anesthesiology. 2008; 109: 723–40. DOI: 10.1097/ALN.0b013e3181863117
  17. Hilbert-Carius P., Schwarzkopf D., Reinhart K., Hartog C.S., Lefering R., Bernhard M., Struck M.F. Synthetic colloid resuscitation in severely injured patients: analysis of a nationwide trauma registry (TraumaRegister DGU). Scientific Reports. 2018; 8: 11567. DOI: 10.1038/s41598-018-30053-0
  18. Finfer S., Liu B., Taylor C., Bellomo R., Billot L., Cook D. et al.; SAFE TRIPS Investigators. Resuscitation fluid use in critically ill adults: an international cross-sectional study in 391 intensive care units. Crit. Care. 2010; 14: 185. DOI: 10.1186/cc9293
  19. Hartog C.S., Natanson C., Sun J., Klein H.G., Reinhart K. Concerns over use of hydroxyethyl starch solutions. B. M. J. 2014; 349: 5981. DOI: 10.1136/bmj. g5981
  20. Allen C.J., Ruiz X.D., Meizoso J.P., Ray J.J., Livingstone A.S., Schulman C.I. et al. Is hydroxyethyl starch safe in penetrating trauma patients? Mil. Med. 2016; 181: 152–5. DOI: 10.7205/MILMED-D-15-00132
  21. Leberle R., Ernstberger A., Loibl M., Merkl J., Bunz M., Creutzenberg M. et al. Association of high volumes of hydroxyethyl starch with acute kidney injury in elderly trauma patients. Injury. 2015; 46 (1): 105–9. DOI: 10.1016/j.injury.2014.08.039
  22. Rasmussen K.C., Secher N.H., Pedersen T. Effect of perioperative crystalloid or colloid fluid therapy on hemorrhage, coagulation competence, and outcome: a systematic review and stratified meta-analysis. Medicine (Baltimore). 2016; 95 (31): 4498. DOI: 10.1097/MD.0000000000004498
  23. Kozek-Langenecker S.A. Effects of hydroxyethyl starch solutions on hemostasis. Anesthesiology. 2005; 103: 654–60. DOI: DOI: 10.1097/00000542-200509000-00031
  24. Bayer O., Schwarzkopf D., Doenst T., Cook D., Kabisch B., Schelenz C. et al. Perioperative fluid therapy with tetrastarch and gelatin in cardiac surgery – a prospective sequential analysis. Crit. Care Med. 2013; 41: 2532–42. DOI: 10.1097/CCM.0b013e3182978fb6 26.
  25. Moeller C., Fleischmann C., Thomas-Rueddel D., Vlasakov V., Rochwerg B., Theurer P. et al. How safe is gelatin? A systematic review and meta-analysis of gelatin-containing plasma expanders vs crystalloids and albumin. J. Crit. Care. 2016; 35: 75–83. DOI: 10.1016/j.jcrc.2016.04.011
  26. Farooque S., Kenny M., Marshall S.D. Anaphylaxis to intravenous gelatin-based solutions: a case series examining clinical features and severity. Anaesthesia. 2019; 74 (2): 174–9. DOI: 10.1111/anae.14497
  27. Mårtensson J., Bellomo R. Are all fluids bad for the kidney? Curr. Opin. Crit. Care. 2015; 21: 292–301. 126 Reviews Clinical Physiology of Circulation. 2022; 19 (2). DOI: 10.24022/1814-6910-2022-19-2-119-126
  28. Pisano A., Landoni G., Bellomo R. The risk of infusing gelatin? Die-hard misconceptions and forgotten (or ignored) truths. Minerva Anestesiol. 2016; 82 (10): 1107–14. PMID: 27045639
  29. Food and drug administration. List of drug products that have been withdrawn or removed from the market for reasons of safety or effectiveness. 63 FR 54082. 1998. Available at: https://www.gpo.gov/fdsys/pkg/FR-1998- 10-08/pdf/98-26923.pdf (accessed 30.06.2021)
  30. Moman R.N., Gupta N., Varacallo M. Physiology, albumin. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. PMID: 29083605
  31. Clarke G., Yan M. Clinical guide to transfusion. Chapter 3. Albumin. Canadian Blood Services. 2018. Available at: https://professionaleducation.blood.ca/en/transfusion/guide-clinique/albumin (accessed June 2021) 33. Martenssona J., Bellomoa R. Are all fluids bad for the kidney? Curr. Opin. Crit. Care. 2015; 21 (4): 292–301. DOI: 10.1097/MCC.0000000000000214
  32. Moret E., Jacob M.W., Ranucci M., Schramko A.A. Albumin – beyond fluid replacement in cardiopulmonary bypass surgery: why, how, and when? Sem. Cardiothorac. Vasc. Anesth. 2014; 18 (3): 252–9. DOI: 10.1177/1089253214535667
  33. Vlasov H., Juvonen T., Hiippala S., Suojaranta R., Peltonen M., Schramko A. et al. Effect and safety of 4% albumin in the treatment of cardiac surgery patients: study protocol for the randomized, double-blind, clinical ALBICS (ALBumin In Cardiac Surgery) trial. Trials. 2020; 21 (1): 235. DOI: 10.1186/s13063-020- 4160-3
  34. Frenette A.J., Bouchard J., Bernier P., Charbonneau A., Nguyen L.T., Rioux J.-P. et al. Albumin administration is associated with acute kidney injury in cardiac surgery: a propensity score analysis. Crit. Care. 2014; 18: 602. DOI: 10.1186/s13054-014-0602-1
  35. Paar M., Rossmann C., Nusshold C., Wagner T., Schlagenhauf A., Leschnik B. et al. Anticoagulant action of low, physiologic, and high albumin levels in whole blood. PLoS One. 2017; 12 (8): e0182997. DOI: 10.1371/journal.pone.0182997
  36. Rasmussen K.C., Højskov M., Johansson P.I., Kridina I., Kistorp T., Salling L. et al. Impact of albumin on coagulation competence and hemorrhage during major surgery: a randomized controlled trial. Medicine (Baltimore). 2016; 95 (9): e2720. DOI: 10.1097/MD.0000000000002720
  37. Haynes G.R., Bassiri K. Hyper-oncotic vs. hypooncotic albumin solutions: a systematic review of clinical efficacy and safety. SN Compr. Clin. Med. 2021; 3: 1137–47. DOI: 10.1007/s42399-021-00755-0
  38. Campos Munoz A., Jain N.K., Gupta M. Albumin colloid. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. PMID: 30480974 41. Aronson S., Nisbet P., Bunke M. Fluid resuscitation practices in cardiac surgery patients in the USA: a survey of health care providers. Perioper. Med. 2017; 6: 15. DOI: 10.1186/s13741-017-0071-6
  39. Kingeter A.J., Raghunathan K., Munson S.H., Hayashida D.K., Zhang X., Iyengar S. et al. Association between albumin administration and survival in cardiac surgery: a retrospective cohort study. Can. J. Anaesth. 2018; 65 (11): 1218–27. DOI: 10.1007/s12630-018-1181-4
  40. Wigmore G.J., Anstey J.R., St John A., Greaney J., Morales-Codina M., Presneill J.J. et al. 20% Human albumin solution fluid bolus administration therapy in patients after cardiac surgery (the HAS FLAIR Study). J. Cardiothorac. Vasc. Anesth. 2019; 33 (11): 2920–7. DOI: 10.1053/j.jvca.2019.03.049 44.
  41. Hanley C., Callum J., Karkouti K., Bartoszko J. Albumin in adult cardiac surgery: a narrative review. Can. J. Anaesth. 2021; 68 (8): 1197–213. DOI: 10.1007/s12630-021-01991-7
  42. Otero T., Aljure O., Yu S. Fluid resuscitation after cardiac surgery: is hypertonic saline or hyperoncotic albumin the future? Authorea. 2020. DOI: 10.22541/au.159285504.41880019
  43. Carvalho A.R., Guizilini S., Murai G.M., Begot I., Rocco I.S., Hossne N.A. Jr. et al. Hemodynamic changes during heart displacement in aorta no-touch off-pump coronary artery bypass surgery: a pilot study. Braz. J. Cardiovasc. Surg. 2018; 33 (5): 469–75. DOI: 10.21470/1678-9741-2018-0090
  44. Joosten A., Delaporte A., Ickx B., Touihri K., Stany I., Barvais L. et al. Crystalloid versus colloid for intraoperative goal-directed fluid therapy using a closed-loop system: a randomized, double-blinded, controlled trial in major abdominal surgery. Anesthesiology. 2018; 128: 55. DOI: 10.1097/ALN.0000000000001936
  45. Joosten A., Delaporte A., Mortier J., Ickx B., Van Obbergh L., Vincent J.L. et al. Long-term impact of crystal-loid versus colloid solutions on renal function and disability-free survival after major abdominal surgery. Anesthesiology. 2019; 130: 227. DOI: 10.1097/ALN.0000000000002501
  46. Kabon B., Sessler D.I., Kurz A. Crystalloid-colloid study team. Effect of intraoperative goal-directed balanced crystalloid versus colloid administration on major postoperative morbidity: a randomized trial. Anesthesiology. 2019; 130: 728. DOI: 10.1097/ALN.0000000000002601
  47. Milford E.M., Reade M.C. Resuscitation fluid choices to preserve the endothelial glycocalyx. Crit. Care. 2019; 23: 77. DOI: 10.1186/s13054-019-2369-x
  48. Maltseva L.A., Mishchenko E.A., Mosentsev N.F., Maltsev I.A., Bondarenko N.S. Glycocalyx role in regulating vascular permeability: the revised Starling’s principle. Emergency Medicine. 2019; 6 (101): 16–21 (in Russ.). DOI: 10.22141/2224-0586.6.101.2019.179593
  49. Malbrain M.L.N.G., Langer T., Annane D., Gattinoni L., Elbers P., Hahn R.G. et al. Intravenous fluid therapy in the perioperative and critical care setting: executive summary of the International Fluid Academy (IFA). Ann. Intensive Care. 2020; 10: 64. DOI: 10.1186/s13613-020-00679-3

Об авторах

  • Хинчагов Джумбер Яковлевич, канд. мед. наук, врач – анестезиолог-реаниматолог; ORCID
  • Рыбка Михаил Михайлович, д-р мед. наук, заместитель директора по анестезиологии и реанимации, заведующий отделом анестезиологии, реанимации и интенсивной терапии; ORCID

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