[Anesthesia, changes in hemodynamics and metabolism in surgical treatment of thoracic and abdominal aortic aneurysms].
45 patients aged 32-63 years operated on for dissecting aneurysm of the thoracoabdominal part of the aorta were divided into 2 groups. Group 1 patients (n = 36) were operated on with application of the bypass using centrifuge pump. Group 2 patients (n = 9) were operated on without the bypass. The results evidence that the employed anesthesia and infusion therapy in combination with the bypass maintained by the pump provide stable intraoperative hemodynamics and prevent renal failure. Usage of the bypass in combination with liquor drainage reliably protects spinal cord from ischemia, especially in patients with long-term aortic ligature.
Seleznev
M N
MN
Babalian
G V
GV
Guleshov
V A
VA
Kirillov
M V
MV
D000136:Acid-Base Equilibrium / Q000187:drug effects; D000241:Adenosine / Q000494:pharmacology; D000328:Adult; D000758:Anesthesia; D000777:Anesthetics / Q000494:pharmacology; D000784:Aortic Dissection / Q000601:surgery*; D000959:Antihypertensive Agents / Q000008:administration & dosage / Q000494:pharmacology; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D007668:Kidney / Q000187:drug effects; D008875:Middle Aged; D012121:Respiration, Artificial; D013997:Time Factors
D000777:Anesthetics; D000959:Antihypertensive Agents; C109539:dilazin; D000241:Adenosine
Anesteziia, izmeneniia gemodinamiki i metabolizma pri operatsiiakh po povodu anevrizm torakoabdominal'nogo otdela aorty.