Year 2011 Vol. 19 No 6

ANESTHESIOLOGY-REANIMATOLOGY

R.E. RZHEUTSKAYA

CENTRAL HEMODYNAMIC PARAMETER CHANGES AT THE SEVERE TRAUMATIC BRAIN INJURY

Objectives. To define specific features of central hemodynamic parameter changes at the isolated severe traumatic brain injury (STBI).
Methods. The study of central hemodynamic parameters was carried out in 13 patients with the isolated STBI – the 1st group as well as in 15 patients with the isolated STBI and the determined brain death – the 2nd group. The parameters of central hemodynamics were investigated using the method of transpulmonary thermodilution. The 1st group patients were monitored in the acute period of traumatic disease for 7 days following the injury. The 2nd group patients’ central hemodynamic parameters were monitored during 1-3 days.
Results. The performed study revealed various types of hemodynamic reaction in the patients with the isolated STBI in the acute period of traumatic disease and in the patients with the clinically determined brain death.
Conclusions. Monitoring of the central hemodynamics parameters allows determining the cause of disorders as well as timely correcting of the developed disturbances, purposefully changing the infusion inotropic and vasopressor therapy strategy.

Keywords: severe traumatic brain injury, transpulmonary thermodilution, central hemodynamic parameters
p. 101 – 105 of the original issue
References
  1. Bendo, A. A. Анестезиологическое обеспечение пациентов с черепно-мозговой травмой / A. A. Bendo [Электронный ресурс]. – 1999. – Режим доступа: http://www.rusanesth.com/Genan/cherepn.htm. – Дата доступа: 23.09.2010.
  2. Краткое руководство по неврологии для врачей / под ред. Г. Я. Хулупа, Ю. Г. Шанько. – Минск, 2008. – 236 с.
  3. The role of secondary brain injury in determining outcome from severe head injury / R. M. Chesnut [et al.] // J. Trauma. – 1993. – N 34. – P. 216-222.
  4. Measuring the burden of secondary insults in head injured patients during intensive care / P. A. Jones [et al.] // J. Neurosurg. Anesthesiol. – 1994. – N 6. – P. 4-14.
  5. Hill, D. A. Factors affecting outcome in the resuscitation of severely injured patients / D. A. Hill, K. J. Abraham, R. H. West // Aust. NZ. J. Surg. – 1993. – N 63. – P. 604-609.
  6. Hypotension, hypoxia, and head injury: frequency, duration, and consequences / G. Manley [et al.] // Arch. Surg. – 2001. – N 136. – P. 1118-1123.
  7. The Westmead Head Injury Project outcome in severe head injury. A comparative analysis of pre-hospital, clinical, and CT variables / M. R. Fearnside [et al.] // Br. J. Neurosurg. – 1993. – N 7. – P. 267-279.
  8. Rosner, M. J. Cerebral perfusion pressure management in head injury / M. J. Rosner, S. J. Daughton // Trauma. – 1990. – N 30. – P. 933-940.
  9. Guidelines for the management of severe traumatic brain injury [Electronic resource]. – BrainTraumaFoundation, Inc., 2000. – 3rd ed. – Mode of access: https://www.braintrauma.org/pdf/protected/Guide-linesManagement_2007w_bookmarks.pdf. – Date of access: 23.09.2010.
  10. Коновалов, Л. Б. Клиническое руководство по черепно-мозговой травме: в 2 т. / Л. Б. Коновалов, А. Н. Лихтерман, А. А. Потапов. – М.: Антидор, 1998. – Т. 2. – 550 с.
  11. Michard, F. Management of circulatory and respiratory failure using lessinvasive hemodynamic monitoring / F. Michard, A. Perel // Yearbook of Intensive Care and Emergency Medicine / Ed. J. L. Vincent. – Berlin: Springer, 2003. – P. 508-520.
  12. Кузьков, В. В. Волюметрический мониторинг в отделении реанимации: основы метода / В. В. Кузьков, М. Ю. Киров, Э. В. Недашковский // Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. – Архангельск, 2003. – С. 255-260.
Contacts | ©Vitebsk State Medical University, 2007-2023