THE PREOPERATIVE MANAGEMENT OF THE OXYGEN TRANSPORT IN THE PATIENTS WITH ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION
https://doi.org/10.21292/2078-5658-2015-12-3-3-8
Abstract
The comparative judgment of the preoperative fluid therapy was performed with 56 acute small bowel obstruction patients. The parameters of the oxygen delivery and the central hemodynamics were tested. It is shown that the fluid therapy conducted for 3 hours with the balanced colloidal and crystalloid solutions for a median of 500 and 2000 ml correspondingly reverses the hemodynamic dislocations, regulates the management of the oxygen delivery and to some extent improves the surgical results.
About the Authors
M. I. Neymark
Altaisky State Medical University, Barnaul
Russian Federation
Russian Federation
A. S. Zhukov
Altaisky State Medical University, Barnaul
Russian Federation
Russian Federation
References
1. Abramov A.Yu., Larichev A.B., Volkov A.V. et al. Intubation decompression in surgery treatment of adhesive small bowel obstruction. Materialy 9-go Vserossiyskogo s'ezda khirurgov. [Materials of the 9th All-Russian Conference of Surgeons]. Volgograd, 2000, 137 p.
2. Briskin B.S., Khacharyan N.N., Savchenko Z.I. et al. Some treatment aspects of severe forms of disseminated peritonitis. Consilium Medicum. 2002, Appendix no. 2, pp. 17-21. (In Russ.)
3. Gelfand B.R. Infusionno-transfusionnaya terapiya v klinicheskoy meditsine. Ruk. dlya vrachey. [Infusion transfusion therapy in clinical medicine. Doctors' Manual]. Med. Inform. Agentstvo Publ., 2009, 255 p.
4. Zavadovskaya V.D., Zavyalova N.G., Osina I.I. et al. Ultrasound diagnostics of bowel obstruction. Med. Vizualizatsiya, 2005, no. 4, pp. 76-83. (In Russ.)
5. Kirillov S.V. Ultrasound diagnostics and monitoring of acute bowel obstruction. Ros. J. Gastroenterologii, Gepatologii, Koloproktologii. Materialy 3-y Rossiyskoy Gastroenterologicheskoy Nedeli. [Materials of the 3rd Gastroenterological Week]. 1997, vol. 7, no. 5, 258 p.
6. Korymasov E.A., Gorbonov Yu.V. Principles of differential diagnostics and tactics in acute bowel obstruction. Vestn. Khirurgii, 2003,vol. 162, no. 3, pp. 101-106. (In Russ.)
7. Krasilnikov D.M., Fedorov V.V., Akhmerov A.B. et al. Diagnostics of the early post-surgery adhesive bowel obstruction. Materialy V s'ezda khirurgov respublic Sredney Asii i Kazakhstana. [Materials of the Vth Conference of the Republics of the Central Asia and Kazakhstan]. Tashkent, 1991, pp. 181-182. (In Russ.)
8. Kriger A.G., Andreytsev I.L., Gorsky V.A. et al. Diagnostics and treatment of acute adhesive bowel obstruction. Khirurgiya, 2001, no. 7, pp. 25-29. (In Russ.)
9. Kurygin A.A., Stoyko Yu.M., Bagnenko S.F. Neotlozhnaya khirurgicheskaya gastroenterologiya. Ruk. dlya vrachey. Emergency surgery gastroenterology. Doctors' Manual]. St. Petersburg, Piter Publ., 2001, 480 p.
10. Mumladze R.B., Vasiliev I.T., Lebedinsky I.M. et al. Prevention of post surgery complications in patients with acute bowel obstructions. Materialy IX Vserossiyskogo s'ezda khirurgov. [Materials of the IXth All-Russian Conference of Surgeons]. Volgodrad, 2000, 197 p. (In Russ.)
11. Raybuzhis E.N., Smetkin A.A., Gaidukov K.M. et al. Abdominal hypertension and abdominal compartmental syndrome: current understanding of the diagnostics and treatment. Vestnik Anasteziol. i Reanimatol., 2010, vol. 7, no. 4, 14-21. (In Russ.)
12. Ryabov G.A., Konovalov B.A., Seregin Yu.S. Oxygen partial pressure in mixed venous blood as a criterion of oxygen transportation system state of the surgical patients in critical states. Anesteziol. i Reanimatol., 1984, no. 3, pp. 25-29. (In Russ.)
13. Saveliev V.S. Rukovodstvo po neitlozhnoy khirurgii organov bryushnoy polosti. [Guidelines of immediate abdomen surgery]. Moscow, Triada-X Publ., 2004, 640 p.
14. Khodas M.Ya., Dementieva I.I., Osipov V.P. et al. Pathogenesis of lactacidemia. Anesteziol. i Reanimatol., 1982, no. 6, pp. 34-37. (In Russ.)
15. Smorenberg A., Ince C., Johan A.B. Groeneveld Dose and type of crystalloid fluid therapy in adult hospitalized patients. Perioper Med. (Lond)., 2013, vol. 2, pp. 17.
16. Blasco V., Leone M., Textoris J. et al. Venous oximetry. physiology and therapeutic implications. Ann. Fr. Anesth. Reanim., 2008, vol. 27, pp. 74-82.
17. Harrahill M. Intra-abdominal pressure monitoring. J. Emerg. Nurs., -1998. vol. 5, pp. 456-466.
18. Kalyan J.P., Rosbergen M., Pal N. Randomized clinical trial of fluid and salt restriction compared with a controlled liberal regimen in elective gastrointestinal surgery. Br. J. Surg., 2013, vol. 100, no. 13, pp. 1739-1746.
19. Kron I.L., Harman P.K., Nolan S.P. The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann. Surg., 1984, vol. 199, pp. 28-30.
20. Malbrain M.L., De Laet I., Cheatham M. Conssensus Conference defination and recommendation on intraabdominal hypertension and abdominal compartment syndrome. Acta Clinica Belgica, 2007, vol. 62, pp. 44-59.
21. Matuschak G.M. Supranormal oxygen delivery in critical illness. New Horizons, 1997, vol, 5, no. 3, pp. 233-238.
22. Navarro L.H., Bloomstone J.A., Auler J.O. Perioperative fluid therapy: a statement from the international Fluid Optimization Group. Perioperative Medicine, 2015, vol. 4, no. 1, pp. 256.
23. Raghunathan K., Murray P.T. Choice of fluid in acute illness: what should be given? An international consensus. Br. J. Anaesth., 2014, no. 113, pp. 772-783.
24. Schober P., Schwarte L.A. From system to organ to cell: oxygenation and perfusion measurement in anesthesia and critical care. J. Clin. Monit. Comput. 2012, vol. 26, no. 4, pp. 255-265.
25. Walley K.R. Use of central venous oxygen saturation to guide therapy. Am. J. Respir. Crit. Care Med., 2011, vol. 1, pp. 514-520.
Review
For citations:
Neymark M.I., Zhukov A.S. THE PREOPERATIVE MANAGEMENT OF THE OXYGEN TRANSPORT IN THE PATIENTS WITH ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2015;12(3):3-8. (In Russ.) https://doi.org/10.21292/2078-5658-2015-12-3-3-8
Email this article 