Oxygen Transport System and Its Compensatory Capabilities for Victims During Operations for Abdominal Trauma, Complicated by Blood Loss
| Autor: | V. H. Timerbaev, V. V. Valetova, A. V. Dragunov, O. V. Smirnova, T. F. Tukibaeva |
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| Jazyk: | ruština |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Неотложная медицинская помощь, Vol 8, Iss 2, Pp 124-131 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2223-9022 2541-8017 |
| DOI: | 10.23934/2223-9022-2019-8-2-124-131 |
| Popis: | Background. Acute hemorrhage remains the leading cause of death on the operating room in emergency surgery. However, the correlation of the central hemodynamics, oxygen balance and homeostasis in such victims during emergency surgical treatment with the outcomes of surgical treatment has not yet been evaluated.Material and methods. We examined 100 patients with acute massive blood loss, who had emergency surgery. We determined heart rate, arterial pressure by direct and indirect methods, central venous pressure, oxygen saturation of blood, cardiac index, systemic vascular resistance, gas and acid-base contents of arterial and venous blood, oxygen consumption, oxygen delivery, oxygen extraction ratio according to generally accepted formulas. Two groups of patients were formed of 50 people, depending on the oxygen balance (Group 1 - subcompensation, Group 2 - decompensation).Results. At the time of admission to the operating room and after the surgery, the indicators of systemic hemodynamics in patients of both groups did not differ statistically significantly. In the Group 2, at the time of admission to the operating room, there were statistically significantly higher VO2 (195 (158, 256) ml/(min-m2) and 112.5 (86; 145.3) ml/(min-m2)), ERO2 (50 (45.1, 60) % and 25.1 (19.6, 33.2) %) and low SvO2 (54.4 (48.5, 67.5) % and 75.1 (67,8; 83) %) (p |
| Databáze: | Directory of Open Access Journals |
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