APPLICATION OF THE METHOD OF EXTRACORPOREAL AUTOHEMOMAGNETIC THERAPY FOR THE PURPOSE OF CORRECTION OF HEMODYNAMIC DISORDERS IN THE INTRAOPERATIVE PERIOD WHEN PERFORMING CORONARY BYPASS UNDER ARTIFICIAL CIRCULATION
Journal: Journal of the Grodno State Medical University (Vol.22, No. 1)Publication Date: 2024-03-12
Authors : K. O. Kratkou V. N. Valentyukevich;
Page : 51-55
Keywords : coronary heart disease; endothelial dysfunction; magnetic treatment of blood; extracorporeal autohemomagnetic therapy; central hemodynamics;
Abstract
Purpose of the study. To evaluate the effect of extracorporeal autohemomagnetic therapy on the parameters of central hemodynamics during surgical intervention for myocardial revascularization (aortocoronary and mammary coronary bypass surgery) under conditions of artificial circulation. Material and methods. The parameters of invasive hemodynamics of 100 patients who were treated in anesthesiology and intensive care units were studied. All patients were divided into 2 groups. Group 1 (50 people) received standard anesthesia (multicomponent balanced anesthesia) for coronary artery bypass grafting and mammary coronary artery bypass grafting under artificial circulation without the use of extracorporeal autohemomagnetic therapy. In group 2 (50 people), in addition to standard anesthesia autohemomagnetic therapy was used. Аfter catheterization of a. radialis dextra (sinistra) and v. jagularis interna dextra (sinistra), the invasive hemodynamics parameters were assessed using the Draeger Infinity Delta monitoring system (Germany): systolic blood pressure, diastolic blood pressure, mean arterial pressure, central venous pressure, heart rate. The parameters were studied at 2 stages of the surgical intervention: 10 minutes after induction of anesthesia, 10 minutes after administration of the calculated dose of protamine. Results. The use of autohemomagnetic therapy made it possible to increase the parameters of invasive central hemodynamics: systolic blood pressure, diastolic blood pressure, mean arterial pressure. The study of the parameters of heart rate and central venous pressure revealed no statistical differences. Conclusions. The use of extracorporeal autohemomagnetic therapy in the intraoperative period during myocardial revascularization can help correct hemodynamic disorders.
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