THE INFLUENCE OF THE CARDIOPULMONARY BYPASS PRIMEON METABOLISM DURING CARDIOPULMONARY BYPASS
DOI:
https://doi.org/10.32782/2411-9164.19.1-5Keywords:
Cardiosurgery, cardiopulmonary bypass,prime, perioperative energy monitoring, metabolismAbstract
Objective. To assess the possibility of using personalized energy monitoring during cardiopulmonary bypass, improving perioperative metabolism during cardiopulmonary bypass due to optimization of cardiopulmonary bypass primesolution. Materials and methods. The study included 25 patientswho underwent coronaryartery bypass grafting with cardiopulmonary bypass. In group 1 the prime included a4% succinylated gelatin solution, 15% Mannitol, 4.2%Soda-Bufer, Reosorbilact, heparin. In group 2 the prime included a 4% succinylated gelatin solution, 15% mannitol, 4% sodium bicarbonate, 0.9% sodium chloride and heparin. Results. The results of the studyshowed that the cardiac surgery patientsinitiallyhavevaryingdegrees of metabolicdisorders. In the group 1 where Soda-Bufer 4.2% and Reosorbilact were used, the parameters of the MetabolicRateIndexwere closer to theTargetMetabolicRateIndex and more exceeded the BasalMetabolicRateIndexthan in the group 2. Conclusion. Cardiac surgery patients belong to the risk group for metabolic disorders. Perioperative energy monitoring allowsto controlthe Metabolic Rate Index. One of the ways to improve perioperative metabolism is the use of 4.2%Soda-Bufer and Reosorbilact as prime components.
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