[Changes in respiration and hemodynamics in patients with cranio-cerebral injury after hyperbaric oxygenation].
Respiration, central hemodynamics, gas and acid-alkaline balance of the blood were examined in the course of hyperbaric oxygenation (HBO) sessions in 30 patients in the acute period of severe craniocerebral injury, including 15 patients with a favourable outcome and 15 patients with a subsequent lethal outcome. In the first group, HBO gave rise to a decrease in the minute respiratory volume (MRV) and, in particular, in the minute blood volume (MBV). Acid-base and gas balance of the blood remained unchanged or improved. This attests to intactness of oxygen reactivity of the brain and body on the whole and allows establishment of a favourable prognosis of the further course and outcome of disease. The second group manifested a different dynamics: the initial MRV was greater, further increasing in the course of HBO sessions, acid-alkaline and gas balance of the blood worsened towards the development of non-compensated respiratory alkalosis which reflects ineffective hyperventilation and disturbed perversed oxygen reactivity.
Rafikov
A M
AM
Kasumov
R D
RD
Kochubeev
A V
AV
D000136:Acid-Base Equilibrium / Q000502:physiology; D000222:Adaptation, Physiological / Q000502:physiology; D001930:Brain Injuries / Q000503:physiopathology* / Q000628:therapy; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D006931:Hyperbaric Oxygenation; D012119:Respiration / Q000502:physiology*
Izmeneniia dykhaniia i gemodinamiki u bol'nykh s cherepno-mozgovoĭ travmoĭ v usloviiakh giperbaricheskoĭ oksigenatsii.