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Сергей Курсов
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Хирургия. Журнал им. Н.И. Пирогова, Aug 1, 2013
Медицина неотложных состояний, 2012
The indices of central hemodynamics before and after operation have been examined in 244 patients... more The indices of central hemodynamics before and after operation have been examined in 244 patients with abdominal sepsis signs. The patients were divided into three groups depending on severity of their state according to АРАСНЕ II scale. There have been carried our the correlation analysis between central venous pressure and changes in heart rate, cardiac index, stroke volume, mean blood pressure and systemic peripheral vascular resistance. Liquid resuscitation in low-risk patients was associated with an increased heart stroke volume, vascular tone and with the tachycardia reduction. In average- and high-risk patients the achievement of the lower level of central venous pressure, which is recommended by Surviving Sepsis Campaign, has been associated with the cardiac efficiency reduction.
HEMODYNAMICS CORRECTION IN PERIOPERATIVE PERIOD (Analytical Review), 2016
Lyzogub K.I., Lyzogub M.V., Kursov S.V. State Institution «Institute of Spine and Joint Patholog... more Lyzogub K.I., Lyzogub M.V., Kursov S.V.
State Institution «Institute of Spine and Joint Pathology named after professor M.I. Sytenko
of the National Academy of Medical Sciences of Ukraine», Kharkiv, Ukraine
Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
HEMODYNAMICS CORRECTION IN PERIOPERATIVE PERIOD
(Analytical Review)
Summary.The analytical review deals with the benefits and
drawbacks of perioperative hemodynamics correction by means of
volume infusion therapy and the use of sympathomimetics. There
was compared a successful use of the liberal and restrictive regimens
of infusion therapy. Individual variability in the effects of different
sympathomimetics is indicated. It is shown that all ways of hemo-
dynamic correction can have serious drawbacks, if the correction is
carried out with limited possibilities of hemodynamic monitoring.
Key words: hemodynamics, infusion therapy, perioperative
period, sympathomimetics.
The literary review presents contemporary opioid classifications and the epidemiology of acute op... more The literary review presents contemporary opioid classifications and the epidemiology of acute opioid poisoning as well as grounds certain events to occur, indicates the mechanism of opioid action. It also pays attention to the clinical pattern of acute opioid poisoning and the means of emergency medicine in accordance with international and national guideline.
Актуальность. Оптимальная стратегия компенсации большой интраоперационной кровопотери до сих пор ... more Актуальность. Оптимальная стратегия компенсации большой интраоперационной кровопотери до сих пор четко не определена. Рестриктивный режим жидкостной ресусцитации, активно продвигаемый авторами последних рекомендаций и руководств, априори не в состоянии гарантировать безопасность проведения больших хирургических операций у пациентов высокого риска. Цель исследования. Освещение состояния проблемы выбора стратегии жидкостной ресусцитации при кровопотере у пациентов с наличием серьезной сопутствующей патологии. Материалы и методы. Детальное изучение результатов исследований, представленных в Интернете, относительно эффективности разных режимов жидкостной ресусцитации у больных, подвергающихся в основном большим хирургическим вмешательствам. Результаты. Рекомендации по применению рестриктивного режима жидкостной ресусцитации имеют весьма слабую доказательную базу. Четко не определено само количественное значение термина «рестриктивный режим ресусцитации». В исследованиях не применялись е...
In the lecture on the basis of world and own studies there is presented an analysis of hemodynami... more In the lecture on the basis of world and own studies there is presented an analysis of hemodynamic changes at septic shock and methods of its correction.
Хирургия. Журнал им. Н.И. Пирогова, Aug 1, 2013
Медицина неотложных состояний, 2012
The indices of central hemodynamics before and after operation have been examined in 244 patients... more The indices of central hemodynamics before and after operation have been examined in 244 patients with abdominal sepsis signs. The patients were divided into three groups depending on severity of their state according to АРАСНЕ II scale. There have been carried our the correlation analysis between central venous pressure and changes in heart rate, cardiac index, stroke volume, mean blood pressure and systemic peripheral vascular resistance. Liquid resuscitation in low-risk patients was associated with an increased heart stroke volume, vascular tone and with the tachycardia reduction. In average- and high-risk patients the achievement of the lower level of central venous pressure, which is recommended by Surviving Sepsis Campaign, has been associated with the cardiac efficiency reduction.
HEMODYNAMICS CORRECTION IN PERIOPERATIVE PERIOD (Analytical Review), 2016
Lyzogub K.I., Lyzogub M.V., Kursov S.V. State Institution «Institute of Spine and Joint Patholog... more Lyzogub K.I., Lyzogub M.V., Kursov S.V.
State Institution «Institute of Spine and Joint Pathology named after professor M.I. Sytenko
of the National Academy of Medical Sciences of Ukraine», Kharkiv, Ukraine
Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
HEMODYNAMICS CORRECTION IN PERIOPERATIVE PERIOD
(Analytical Review)
Summary.The analytical review deals with the benefits and
drawbacks of perioperative hemodynamics correction by means of
volume infusion therapy and the use of sympathomimetics. There
was compared a successful use of the liberal and restrictive regimens
of infusion therapy. Individual variability in the effects of different
sympathomimetics is indicated. It is shown that all ways of hemo-
dynamic correction can have serious drawbacks, if the correction is
carried out with limited possibilities of hemodynamic monitoring.
Key words: hemodynamics, infusion therapy, perioperative
period, sympathomimetics.
The literary review presents contemporary opioid classifications and the epidemiology of acute op... more The literary review presents contemporary opioid classifications and the epidemiology of acute opioid poisoning as well as grounds certain events to occur, indicates the mechanism of opioid action. It also pays attention to the clinical pattern of acute opioid poisoning and the means of emergency medicine in accordance with international and national guideline.
Актуальность. Оптимальная стратегия компенсации большой интраоперационной кровопотери до сих пор ... more Актуальность. Оптимальная стратегия компенсации большой интраоперационной кровопотери до сих пор четко не определена. Рестриктивный режим жидкостной ресусцитации, активно продвигаемый авторами последних рекомендаций и руководств, априори не в состоянии гарантировать безопасность проведения больших хирургических операций у пациентов высокого риска. Цель исследования. Освещение состояния проблемы выбора стратегии жидкостной ресусцитации при кровопотере у пациентов с наличием серьезной сопутствующей патологии. Материалы и методы. Детальное изучение результатов исследований, представленных в Интернете, относительно эффективности разных режимов жидкостной ресусцитации у больных, подвергающихся в основном большим хирургическим вмешательствам. Результаты. Рекомендации по применению рестриктивного режима жидкостной ресусцитации имеют весьма слабую доказательную базу. Четко не определено само количественное значение термина «рестриктивный режим ресусцитации». В исследованиях не применялись е...
In the lecture on the basis of world and own studies there is presented an analysis of hemodynami... more In the lecture on the basis of world and own studies there is presented an analysis of hemodynamic changes at septic shock and methods of its correction.