INTRAHOSPITAL TRANSPORT OF PATIENTS WITH RUPTURE OF CEREBRAL ARTERY ANEURYSM
https://doi.org/10.21292/2078-5658-2017-14-1-36-41
Abstract
Goal: to evaluate cerebral hemodynamics in the patients with aneurysm rupture during their transportation within the hospital. Materials and methods. 60 patients divided into 2 groups were included into the study. Patients from group 1 were transported as it was traditionally adopted in the clinic; additional sedation and continuous administration of nimodipine were used in group 2. Results. The increase of medium blood velocity in cerebral vessels by 23.5% on the operated side was observed in group 1. Continuous administration nimodipine solution during all transport stages allows reducing the velocity increase in cerebral vessels on the operated side down to 4.5%. Conclusion. The increase of cerebral angiospasm was observed during intrahospital transportation. The need for additional sedation has been justified for the patients transported while being on the artificial pulmonary ventilation.
About the Authors
A. V. Lokhov
Irkutsk State Medical Academy, Irkutsk
Russian Federation
Post Graduate Student of Anesthesiology and Intensive Care Department
Russian Federation
Post Graduate Student of Anesthesiology and Intensive Care Department
V. I. Gorbachev
Irkutsk State Medical Academy, Irkutsk
Russian Federation
Vladimir Ilyich Gorbachev Doctor of Medical Sciences, Professor, Head of Anesthesiology and Intensive Care Department
Russian Federation
Vladimir Ilyich Gorbachev Doctor of Medical Sciences, Professor, Head of Anesthesiology and Intensive Care Department
E. Yu. Sedova
Irkutsk State Medical Academy, Irkutsk
Russian Federation
Ultrasonic Medical Investigation Specialist
Russian Federation
Ultrasonic Medical Investigation Specialist
S. M. Gorbacheva
Irkutsk State Medical Academy, Irkutsk
Russian Federation
Doctor of Medical Sciences, Professor, Deputy Director on Training Activities, Head of Department on Emergency Medical Care and Disaster Medicine
Russian Federation
Doctor of Medical Sciences, Professor, Deputy Director on Training Activities, Head of Department on Emergency Medical Care and Disaster Medicine
N. V. Likholetova
Irkutsk State Medical Academy, Irkutsk
Russian Federation
Candidate of Medical Sciences, Assistant of Anesthesiology and Intensive Care Department
Russian Federation
Candidate of Medical Sciences, Assistant of Anesthesiology and Intensive Care Department
References
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Review
For citations:
Lokhov A.V., Gorbachev V.I., Sedova E.Yu., Gorbacheva S.M., Likholetova N.V. INTRAHOSPITAL TRANSPORT OF PATIENTS WITH RUPTURE OF CEREBRAL ARTERY ANEURYSM. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2017;14(1):36-41. (In Russ.) https://doi.org/10.21292/2078-5658-2017-14-1-36-41
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