[Significance of invasive monitoring of central hemodynamics for the timely correction of their disturbances in operations on the abdominal aorta].
Central hemodynamics was investigated with the thermistor Swan-Hanz catheter in 50 patients with the Leriche syndrome in whom aorto-femoral bifurcation shunting was performed. It was found that hemodynamic profiles of arterial hypotonia appearing at different stages of the operation can be expressed as hypovolemia, lower peripheral resistance of the vessels or the syndrome of low cardiac ejection. The therapeutic strategy (inotropic maintenance, vasodilators, infusion therapy) should be differentiated depending on the hemodynamic profile of hypotonia.
Sedov
V M
VM
Kovalev
S V
SV
D000368:Aged; D001012:Aorta, Abdominal / Q000503:physiopathology* / Q000601:surgery*; D001810:Blood Volume; D002407:Catheterization, Swan-Ganz; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000628:therapy; D007925:Leriche Syndrome / Q000503:physiopathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D013318:Stroke Volume; D014655:Vascular Resistance; D014656:Vascular Surgical Procedures / Q000009:adverse effects*