Oxygen transport and hemodynamic reactions in ischemic heart disease patients when reserving and reinfusing massive volumes of autoblood
Naumenko, S.E.; Pokrovskiĭ, M.G.; Naumenko, K.S.; Danilenko, A.V.; Kim, S.F.
Vestnik Khirurgii Imeni I. I. Grekova 163(6): 57-63
2004
ISSN/ISBN: 0042-4625 PMID: 15757308 Document Number: 570933
The prospective randomized investigation was carried out in 61 patients with ischemic heart disease who were subjected to planned operations of coronary shunting under conditions of extracorporeal circulation. In the first group of patients autoblood as much as 24% of the calculated circulating blood volume (CBV) was reserved at the stage of isolation of the mammary artery, before systemic heparinization. The volume of the reserved blood of the patients of the second group was about 12% of CBV. It was shown that the reserving and reinfusion of massive (about 24% of CBV) volumes of autoblood in surgical treatment of ischemic heart disease under conditions of extracorporeal circulation failed to cause a substantial change of indices of central hemodynamics as compared to the reserving and reinfusion of autoblood in volume of about 12% of CBV.