Open AccessAbout differences in systemic and pulmonary circulation in the cases of metabolic acidosis after cardio surgery
Author(s) -
А. О. Маричев,
О. А. Волдаева,
В. К. Гребенник,
Е. С. Курскова,
S. V. Myakshin,
А. А. Савельева,
Д. М. Ташханов,
В.А. Мазурок,
А.Е. Баутин
Publication year - 2018
Publication title -
regionarnoe krovoobraŝenie i mikrocirkulâciâ
Language(s) - English
Resource type - Journals
eISSN - 2712-9756
pISSN - 1682-6655
DOI - 10.24884/1682-6655-2018-17-1-25-31
Subject(s) - systemic circulation , medicine , metabolic acidosis , vascular resistance , cardiology , acidosis , vasoconstriction , hemodynamics , stroke volume , hypoxic pulmonary vasoconstriction , anesthesia , blood pressure , heart rate
Objective - to evaluate changes in systemic and pulmonary circulation in the cases of metabolic acidosis (MetAcid) after CABG. Material and metods. Study enrolled 114 patients. In the postoperative period we sampled arterial and mixed venous blood for acid-base analysis. At the same time point we measured a hemodynamic parameters). Results. We found opposite changes in systemic circulation in the cases with different types of MetAcid. SIR was associated with vasoplegia and increased stroke volume (SV). The cases of AHF showed decrease in SV and vasoconstriction. We found one-direction changes in pulmonary circulation in the cases with different types of MetAcid. There were a tendency toward an increase in the pulmonary vascular resistance, raise in the PAPmean in both subgroups.