Fluid status optimization during autologous blood exfusion in thoracic aortic surgery

Gubko A.V.

Federal Agency Research Organizations, Federal State Budgetary Scientific Institution «Petrovsky National Research Centre of Surgery», Moscow, Russia

Guskov D.A.

Federal Agency Research Organizations, Federal State Budgetary Scientific Institution «Petrovsky National Research Centre of Surgery», Moscow, Russia

Markin A.V.

Department of anesthesiology and intensive care II, Petrovsky Russian Research Center for Surgery, Moscow, Russia

Kuznetsov R.V.

Department of anesthesiology and intensive care II, Petrovsky Russian Research Center for Surgery, Moscow, Russia

Akselrod B.A.

Federal Agency Research Organizations, Federal State Budgetary Scientific Institution «Petrovsky National Research Centre of Surgery», Moscow, Russia

Fluid status optimization during autologous blood exfusion in thoracic aortic surgery

Authors:

Gubko A.V., Guskov D.A., Markin A.V., Kuznetsov R.V., Akselrod B.A.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2019;12(2): 132‑140

DOI: 10.17116/kardio201912021132

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To cite this article:

Gubko AV, Guskov DA, Markin AV, Kuznetsov RV, Akselrod BA. Fluid status optimization during autologous blood exfusion in thoracic aortic surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2019;12(2):132‑140. (In Russ.)
https://doi.org/10.17116/kardio201912021132

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)

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Aim — to optimize autologous blood exfusion in patients undergoing thoracic aortic surgery. Material and methods. There were 38 patients who underwent thoracic aortic surgery. Patients were divided into 2 groups: group 1 with advanced hemodynamic monitoring including plethysmography variability index (PVI), cerebral oximetry, stroke volume variability (SVV), cardiac index, stroke volume; group 2 with standard monitoring. Group 1 was additionally subdivided into groups 1A and 1B regarding crystalloid and colloid fluids infusion, respectively. Results. Standard hemodynamic variables were similar in both groups. Significant differences were found in advanced monitoring data. Cardiac index was 3.4±1 l/(min·m²) in group 1 and 2.5±1 l/(min·m2) in group 2; SVV — 7,2±3% vs. 12.7±5.2%, respectively. Cerebral oximetry values were lower in group 2 (77±3% vs. 72.6±5.5%). SVV in subgroup 1A was 7±2.5% prior to exfusion and 8.5±2.9% at the end of exfusion. In subgroup 2 the same values were 7.9±1.4 and 6.4±1.4%, respectively. Overall infusion volume was higher in subgroup 1A (520±80 ml vs. 400±90 ml). Conclusion. Advanced monitoring is useful to increase the safety of autologous blood exfusion during thoracic aortic surgery.

Keywords:

autologous blood exfusion

hemodynamic monitoring

infusion therapy

SVV

PVI

cerebral oximetry

sensitivity to infusion load

Authors:

Gubko A.V.

Federal Agency Research Organizations, Federal State Budgetary Scientific Institution «Petrovsky National Research Centre of Surgery», Moscow, Russia

Guskov D.A.

Federal Agency Research Organizations, Federal State Budgetary Scientific Institution «Petrovsky National Research Centre of Surgery», Moscow, Russia

Markin A.V.

Department of anesthesiology and intensive care II, Petrovsky Russian Research Center for Surgery, Moscow, Russia

Kuznetsov R.V.

Department of anesthesiology and intensive care II, Petrovsky Russian Research Center for Surgery, Moscow, Russia

Akselrod B.A.

Federal Agency Research Organizations, Federal State Budgetary Scientific Institution «Petrovsky National Research Centre of Surgery», Moscow, Russia

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