METHOD OF DIAGNOSTICS OF MICROCIRCULATORY BLOODSTREAM STATE IN CARDIAC-SURGERY PATIENTS DURING ARTIFICIAL CIRCULATION

摘要

FIELD: medicine.;SUBSTANCE: for the diagnostics of the microcirculatory bloodstream state during the artificial circulation (IC) in cardio-surgery patients throughout the period of IR with a respiratory volume of 4 ml/kg, respiratory rate 5 in 1 min, PEEP 5 cm wat. col., FiO₂ 0.3-0.4 the partial pressure of carbon dioxide (CO₂) at the end of exhalation (PetCO₂) is evaluated according to capnography monitoring data. If PetCO₂ decreases below 8 mm wat. col. or more than 2 times from the values at the initiation of the IR, centralization of the blood circulation is diagnosed.;EFFECT: allows to diagnose disorders of microcirculation when conducting artificial circulation, which makes it possible to conduct therapy aimed at decentralization of blood circulation in time, reducing the number of complications in the postoperative period in patients and improving the results of cardiosurgical interventions.;1 ex