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[Correction of hemodynamic in children with CSIP, operated under general and combined epidural anesthesia]
Insights
Anesthesia can cause hemodynamic disturbances in children with congenital сърдечна недостатъчност (CSIP). Increased fluid infusion is crucial for managing these hemodynamic changes in pediatric patients.
Area of Science:
- Pediatric Anesthesiology
- Cardiovascular Physiology
- Critical Care Medicine
Background:
- Congenital сърдечна недостатъчност (CSIP) presents unique challenges during anesthesia.
- Understanding hemodynamic alterations is vital for patient safety.
Purpose of the Study:
- To identify the mechanisms and extent of hemodynamic disturbances in children with CSIP during anesthesia.
- To evaluate the impact of different anesthesia types on hemodynamics.
Main Methods:
- A study involving 70 pediatric patients (3-17 years) undergoing anesthesia.
- Patients were divided into general anesthesia and combined epidural anesthesia groups.
- Central hemodynamics were monitored using a rheographic monitor (Diamnant M).
Main Results:
- Anesthesia significantly impacted hemodynamic parameters across all groups.
- Observed changes indicate reduced adaptive-compensatory capabilities of the circulatory system.
- Anesthetic drugs were identified as a key factor in these disturbances.
Conclusions:
- Fluid infusion volume is critical for correcting hemodynamic indices in pediatric CSIP patients.
- Infusion rates should be adjusted based on age, ranging from 19.8 to 28.9 ml/kg/h.
- Optimized fluid management is essential for perioperative stability.
Unlabelled:
The purpose of the study is to identify the mechanisms and degree of hemodynamic disturbances during anesthesia in children with CSIP.
Materials And Methods:
70 patients in the age from 3 to 17 years were divided into 2 groups by type of anesthesia: general and combined epidural anesthesia. We estimated changes in central hemodynamics at the stages of anesthesia and surgery with the help of rheographic monitor Diamnant M.
The Results:
Hemodynamic changes found in all groups, indicates the anasthesia drugs impact in the conditions of the decreased adaptative-compensatory possibilities of the circulation system.
Conclusion:
The main role in the correction of hemodynamic indices in this group of patients belongs to the volume of the infusion support, which is necessary to increase during the intervention from 19.8 to 28.9 ml/kg/h depending on the age of patients.
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