CARDIORESPIRATORY DISTURBANCES AT NEUROAXIAL ANESTHESIA

Sergey V. Sadchikov; Viktor P. Kolosov; Andrey N. Odireev

CARDIORESPIRATORY DISTURBANCES AT NEUROAXIAL ANESTHESIA

Sergey V. Sadchikov, Viktor P. Kolosov, Andrey N. Odireev

Abstract

The aim of the research is to study the peculiarities of changes of central hemodynamics and respiratory function in patients at neuroaxial anesthesia. 122 patients who were subjected to elective surgical, urologic and gynecologic operative interventions were studied upon the parameters of central hemodynamics and gas composition of arterial blood at neuroaxial anesthesia as monoanesthesia with the possibility of separate breathing. The dependence between the disturbance of central hemodynamics and respiratory dysfunction development was found out. The changes of central hemodynamics are prognostically unfavorable for the development of arterial hypoxemia and acute respiratory failure. They include the decrease of heart index, heart beating index, the fraction of heart left ventricle output, the index of heart left ventricle capacity, and the increase of general peripheral vascular resistance. Central hemodynamics controlled with the method of echocardiography at inotropic and vasopressor support allows to retain the gas composition of the arterial blood at neuroaxial anesthesia within physiological limits.

Keywords

neuroaxial anesthesia, central hemodynamics, respiratory disturbances

(616.12+616.2)616-008.64:616-089-008.441.331

About the Authors

Sergey V. Sadchikov

Far Eastern Scientific Center of Physiology and Pathology of Respiration SB RAMS
Russian Federation

Viktor P. Kolosov

Far Eastern Scientific Center of Physiology and Pathology of Respiration of Siberian Branch RAMS
Russian Federation

Andrey N. Odireev

Far Eastern Scientific Center of Physiology and Pathology of Respiration SB RAMS
Russian Federation

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Review

For citations:

Sadchikov S.V., Kolosov V.P., Odireev A.N. CARDIORESPIRATORY DISTURBANCES AT NEUROAXIAL ANESTHESIA. Bulletin Physiology and Pathology of Respiration. 2012;(45):47-51.

This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 1998-5029 (Print)

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Bulletin Physiology and Pathology of Respiration

CARDIORESPIRATORY DISTURBANCES AT NEUROAXIAL ANESTHESIA

Abstract

Keywords

About the Authors

References

Review

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