[Hemodynamics, oxygen transport and perioperative intensive care evaluation in newborns with surgical pathology]

The aim of the work was to develop criteria of perioperative intensive therapy efficiency in surgical neonates by hemodynamic, acid--base status, oxygen transport and pulmonary hydration studying and evaluating. The study of hemodynamics, oxygen transport, pulmonary hydration was performed in 69 infants with surgical pathology. In 36 children neuroaxial central blockades were used on the background of general anesthesia. The criteria of preoperative preparation effectiveness--balanced oxygen regime--3-3.5 units; positive central venous pressure--3-4 sm w. c.; hourly urine output of at least 1 ml/(kg x h); transthoracic impedance is not less than 19 ohms (prevention of pulmonary edema). In group I hemodynamic variations were minimal compared with infants of the II groups that is associated with better analgesic effect of caudal-epidural blockades.