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Barbarash L.S.

State Research Institute for Complex Issues of Cardiovascular Diseases Municipal Budget Healthcare Institution, Kemerovo, Russia

Shukevich D.L.

Kemerovskaia oblastnaia klinicheskaia bol'nitsa

Plotnikov G.P.

Research Institute for Complex Issues of Cardiovascular Diseases 6, Sosnovy Blvd, 650002, Kemerovo, Russia

Khaes B.L.

URAMN nauchno-issledovatel'skiĭ institut kompleksnykh problem serdechno-sosudistykh zabolevaniĭ SO RAMN, Kemerovo

Stasev A.N.

FGBU NII KPSSZ SO RAMN, Kemerovo

Kokorin S.G.

Nauchno-issledovatel'skiĭ institut kompleksnykh problem serdechno-sosudistykh zabolevaniĭ SO RAMN, Kemerovo

Grigor'ev E.V.

kafedra anesteziologii i reanimatologii Kemerovskoĭ gosudarstvennoĭ meditsinskoĭ akademii

Patient-centered care: perfusion and anesthetic management in patients undergoing repreat heart valve replacement

Authors:

Barbarash L.S., Shukevich D.L., Plotnikov G.P., Khaes B.L., Stasev A.N., Kokorin S.G., Grigor'ev E.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2017;10(3): 4‑10

DOI: 10.17116/kardio20171034-10

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PATIENT-CENTERED CARE: PERFUSION AND ANESTHETIC MANAGEMENT IN PATIENTS UNDERGOING REPREAT HEART VALVE REPLACEMENT
PATIENT-CENTERED CARE: PERFUSION AND ANESTHETIC MANAGEMENT IN PATIENTS UNDERGOING REPREAT HEART VALVE REPLACEMENT

To cite this article:

Barbarash LS, Shukevich DL, Plotnikov GP, Khaes BL, Stasev AN, Kokorin SG, Grigor'ev EV. Patient-centered care: perfusion and anesthetic management in patients undergoing repreat heart valve replacement. Russian Journal of Cardiology and Cardiovascular Surgery. 2017;10(3):4‑10. (In Russ.)
https://doi.org/10.17116/kardio20171034-10

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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The current article presents a retrospective comparison of clinical outcomes after repeat heart valve replacement for failed heart valve prosthesis using different anesthesia and perfusion techniques. Beneficial effects of early initiation of cardiopulmonary bypass via peripheral cannulation, individual oxygenator sizing, decreased activity of systemic inflammatory mediators due to blood reinfusion, intraoperative cytokine modulation and timely management of homestatic potential. Moreover, the need for blood transfusions as well as the incidence of multiple organ dysfunction syndrome and mechanical ventilation time decreased. Reduction of intensive care unit length of stay, and the use of fast track in this group of patients resulted in a positive pharmacoeconomic effect.

Keywords:

repeat heart valve replacement
cardiopulmonary bypass
perfusion
anesthesic management

Authors:

Barbarash L.S.

State Research Institute for Complex Issues of Cardiovascular Diseases Municipal Budget Healthcare Institution, Kemerovo, Russia

Shukevich D.L.

Kemerovskaia oblastnaia klinicheskaia bol'nitsa

Plotnikov G.P.

Research Institute for Complex Issues of Cardiovascular Diseases 6, Sosnovy Blvd, 650002, Kemerovo, Russia

Khaes B.L.

URAMN nauchno-issledovatel'skiĭ institut kompleksnykh problem serdechno-sosudistykh zabolevaniĭ SO RAMN, Kemerovo

Stasev A.N.

FGBU NII KPSSZ SO RAMN, Kemerovo

Kokorin S.G.

Nauchno-issledovatel'skiĭ institut kompleksnykh problem serdechno-sosudistykh zabolevaniĭ SO RAMN, Kemerovo

Grigor'ev E.V.

kafedra anesteziologii i reanimatologii Kemerovskoĭ gosudarstvennoĭ meditsinskoĭ akademii

List of references:

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  2. Akin I, Kische S, Rehders TC, Nienaber CA, Rauchhaus M, Hüseyin Ince, Schneider H, Liebold A. Review paper Indication for percutaneous aortic valve implantation. Arch Med Sci. 2010;6:3:296-302. https://doi.org/10.5114/aoms.2010.14247
  3. Manjula Maganti, Vivek Rao, Armstrong C, Feindel CM, Scully HE, Tirone E. David. RedoValvular Surgery in Elderly Patients. The Annals of Thoracic Surgery. 2009 Feb;87:Issue 2:521-525. https://doi.org/10.1016/j.athoracsur.2008.09.030
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  8. Grigor’ev EV, Fanaskova EV, Plotnikov GP, Shukevich DL, Barbarash OL. Efficiency of postoperative hemostatic disorders correction after cardiac surgery from the position of transfusion support. Kardiologiya i serdechno-sosudistaya khirurgiya. 2015;6:67-73. 
  9. Barbarash OL, Fanaskova EV, Plotnikov GP, Shukevich DL. Goal-directed hemostatic therapy in cardiac surgery — changes in transfusion strategy? Clinical Anesthesiology and Intensive Care. 2015;2(6):45-54.
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  11. Vohra HA, Whistance RN, Roubelakis A, Burton A, Barlow CW, Tsang GM K, Livesey SA, Ohri SK. Outcome after redo-mitral valve replacement in adultpatients: a 10-year single-centre experience. Interactive CardioVascular and Thoracic Surgery. 2012 31 Jan;14: Issue 5:575-579. https://doi.org/10.1093/icvts/ivs005
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  16. Martin Westerberg, Jakob Gäbel, Anders Bengtsson, Johan Sellgren, Ola Eidem, Anders Jeppsson. Hemodynamic effects of cardiotomy suction blood. The Journal of Thoracic and Cardiovascular Surgery. 2006 Jun;131:Issue 6:1352-1357. https://doi.org/10.1016/j.jtcvs.2005.12.067
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