| About the author: |
V. I. Cherniy, L. O. Sobanska, P. O. Topolov |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
Improving metabolism by optimizing the composition of the priming during on-pump coronary artery bypass grafting was the aim of this study. The 30 patients were divided into two groups. In group 1, priming included succinated gelatin 4 %, mannitol 15 %, Soda buffer 4.2 %, Reosorbilact, heparin. In group 2, priming included succinated gelatin 4 %, mannitol 15 %, sodium bicarbonate 4 %, 0.9 % sodium chloride, heparin. It has been shown that cardiac patients have preoperative metabolic disorders. In group 1 the metabolic rate index was 425.61±27 kcal/min/m², and the target metabolic index was 576.79±16 kcal/min/m². In group 2, 355.98±32 kcal/min/m² and 689.28±21 kcal/min/m², respectively. In group 1, the metabolic rate index metabolism was differed from the target by 27 %, and in group 2 – by 52 %. One of the methods for improving perioperative metabolism is the optimization of the priming composition under the control of energy monitoring. |
| Tags |
cardiac surgery,cardiopulmonary bypass,priming,perioperative energy monitoring,metabolism,coronary artery bypass grafting |
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| Publication of the article |
«World of Medicine and Biology» №4(86), 2023 year, 171-174 pages, index UDK 616.155.1:612.13-021 |
| DOI |
10.26724/2079-8334-2023-4-86-171-174 |
