[Changes of parameters of the central hemodynamics during general surgeries in patients with continuous electrocardiostimulation].
Investigations of the central-hemodynamics parameters made in 23 patients with constant pace making showed a hypokinetic blood circulation type in 17 of them. It was during a narcosis-assisted laparoscopic cholecystectomy, that a general trend was pointed out towards essentially changing parameters of the central hemodynamics for the worse; that was more pronounced, when carboxyperitomium was applied, when the patients was positioned in Fovler's posture or when he (or she) was turned to the left side. In herniotomy and in plasty of the anterior abdominal wall, made with epidural anesthesia, changes occurred mostly in the on-side posture and in introduction of naropin test-doses as well as in 30 minutes after anesthesia was over. There was a need, in a number of cases, to reprogram the pacemaker and to get the inotropic support in order to correct the hemodynamic shifts.
Blinov
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SA
D000368:Aged; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D003326:Coronary Circulation / Q000502:physiology; D015150:Echocardiography, Doppler; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010138:Pacemaker, Artificial; D011028:Pneumoperitoneum, Artificial