[Correction of hemodynamic changes during aortofemoral bifurcation bypass surgery under combined epidural anesthesia].
Assessment of hemodynamic parameters in 50 patients before aortofemoral bifurcation bypass surgery could identify 3 types of baseline central hemodynamics and differentiate methods for correcting its disorders. It was ascertained that the development of the intraoperative reperfusion phenomenon during epidural block might predispose to the low cardiac output syndrome for which correction ganglionic blockers are effective at the stage of aortic ligation and a combination of inotropic agents and venous vasodilators is beneficial at the stage of reperfusion.
Kovalev
S V
SV
Koriachkin
V A
VA
D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural / Q000009:adverse effects / Q000379:methods; D001012:Aorta, Abdominal / Q000503:physiopathology / Q000601:surgery*; D005263:Femoral Artery / Q000503:physiopathology / Q000601:surgery*; D005440:Fluid Therapy / Q000379:methods*; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D007925:Leriche Syndrome / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000379:methods*