A5075590605- Cardiac, Anesthesia and Surgical Outcomes
- Hemodynamic Monitoring and Therapy
- Cardiac and Coronary Surgery Techniques
- Non-Invasive Vital Sign Monitoring
- Respiratory Support and Mechanisms
- Ultrasound in Clinical Applications
- Cardiac Valve Diseases and Treatments
- Anesthesia and Pain Management
- Cardiac Imaging and Diagnostics
- Sepsis Diagnosis and Treatment
- Healthcare Technology and Patient Monitoring
- Pulmonary Hypertension Research and Treatments
- Cardiac Arrest and Resuscitation
- Anesthesia and Sedative Agents
- Mechanical Circulatory Support Devices
- Anesthesia and Neurotoxicity Research
- Cardiovascular Health and Disease Prevention
- Pain Management and Opioid Use
- Aortic Disease and Treatment Approaches
- Abdominal Surgery and Complications
- Cardiac Arrhythmias and Treatments
- Intensive Care Unit Cognitive Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiovascular Function and Risk Factors
- Acute Kidney Injury Research
North-Western State Medical University named after I.I. Mechnikov
2020-2024
City Clinical Hospital
2011-2017
Northern State Medical University
2005-2016
International Institute of Management Arkhangelsk
2013
UiT The Arctic University of Norway
2007
Off-pump coronary artery bypass grafting (OPCAB) requires thorough monitoring of hemodynamics and oxygen transport. Our aim was to find out whether therapeutic guidance during after OPCAB, using an algorithm based on advanced monitoring, influences perioperative hemodynamic fluid management as well the length post-operative ICU hospital stay.Patients were randomized into two groups monitoring: conventional (CM) group (n=20) (AM) (n=20). In CM group, therapy guided by central venous pressure,...
Our aim was to compare the effects of goal-directed therapy guided either by pulmonary artery catheter (PAC) or transpulmonary thermodilution (TTD) combined with monitoring oxygen transport on perioperative hemodynamics and outcome after complex elective valve surgery. Measurements Main Results. Forty patients were randomized into two equal groups: a PAC group TTD group. In group, mean arterial pressure (MAP), cardiac index (CI) occlusion (PAOP), whereas in we additionally used global...
Background: Off‐pump coronary artery bypass grafting (OPCAB) can be associated with severe cardiovascular changes, thus requiring advanced haemodynamic monitoring. Our aim was to investigate the feasibility of transpulmonary single thermodilution (STD) combined pulse‐contour analysis, a newly introduced method for monitoring, assessment changes in haemodynamics during different anaesthetic techniques OPCAB. Methods: Thirty‐six patients scheduled elective OPCAB were randomized receive...
In cardiac surgery, the choice of temperature regimen during cardiopulmonary bypass (CPB) remains a subject debate. Hypothermia reduces tissue metabolic demands, but may impair autoregulation cerebral blood flow and contribute to neurological morbidity. The aim this study was evaluate effect two different regimens CPB on systemic oxygen transport oxygenation surgical correction acquired heart diseases.In prospective study, we randomized 40 adult patients with combined valvular disorders...
The article provides the main statements of guidelines for anesthesia and intensive care patients with coronavirus disease (COVID-19), developed by Federation Anesthesiologists Reanimatologists Russia. In process developing recommendations, publications official websites Russian Federation, electronic databases RSCI, PubMed, MEDLINE, EMBASE Cochrane Central Register Controlled Trials (CENTRAL) were analyzed developers independently each other. date last search query was June 29, 2020. To...
The article provides the main statements of guidelines for anesthesia and intensive care patients with coronavirus disease (COVID-19), developed by Federation Anesthesiologists Reanimatologists Russia. In process developing recommendations, publications official websites Russian Federation, electronic databases RSCI, PubMed, MEDLINE, EMBASE Cochrane Central Register Controlled Trials (CENTRAL) were analyzed developers independently each other. date last search query was February 01, 2021. To...
This review article is devoted to ultrasound monitoring of intravascular volume status and organ perfusion in critically ill patients. In particular, approaches determination fluid responsiveness using Doppler-estimated blood flow peripheral arteries are discussed. The reliability accuracy these parameters substantiated by their comparison with the obtained prepulmonary transpulmonary thermodilution methods. technicalities examination abovementioned considered.
In parallel with development of monitoring systems there appear more and data concerning the efficiency various methods value studied hemodynamic parameters. Various approaches to goal-oriented therapy are being implemented urgency previously proposed perioperative optimization circulation is put in doubt. There no consensus regarding precision, clinical effectiveness reproducibility variables obtained during period. This paper presents a contemporary view on challenges complex surgical...
Objective. To present currently available information on the use of transpulmonary thermodilution, a new type volumetric monitoring hemodynamics. Materials and methods. The data in Russian foreign medical literature this problem are analyzed. Results. In past recent years, thermodilution has come into wide modern anesthesiology reanimatology, including during aortocoronary bypass surgery, correction cardiac defects, transplantation. values obtained by correlate with results other methods can...
Objective: to compare the efficiency of using values transpulmonary (PiCCO) and prepulmonary (Swan-Ganz catheter) thermodilution as guides targeted therapy for hemodynamic disorders in surgical correction mixed cardiac valvular defects. Subjects methods. The study enrolled 40 patients operated on acquired diseases who were randomized two matched groups. Hemodynamics was monitored by means a Swan-Ganz catheter Group 1 2. Anesthesia maintained with propofol fentanyl. Infusion performed...
The given article describes the first experience of a thoracoscopic isolation pulmonary veins and left atrial appendage excision in North-Western State Medical University named after I.I. Mechnikov. clinical case features woman with long history paroxysmal fibrillation, severe atrium dilation, failure pace control drug therapy no effect radiofrequency catheter veins. Additionally, there outlined advantages significance employing method ablation patients symptomatic long-term persistent — if...
Objective: to evaluate the relationship between cerebral oxygenation and hemodynamic oxygen transport parameters in surgical correction of concomitant acquired heart diseases. Subjects methods. Informed consent was received from 40 patients who required surgery because (two or more) defects. During procedure, perioperative monitoring performed with aid PiCCO2 monitor (Pulsion Medical Systems, Germany) a Fore-Sight oximeter (CASMED, USA). Anesthesia maintained propofol fen-tanyl, by depth...
Background & Objectives: Increased lactate levels after heart surgery are associated with postoperative morbidity and prolonged length of ICU stay. The aim our study was to assess the accuracy applicability a novel system for continuous monitoring intravascular microdialysis not requiring calibration in high-risk cardiac surgery. Materials Methods: Twenty-one patients undergoing elective complex (repair or replacement two more valves) combined (valve coronary artery) were enrolled into...
s and Programme: EUROANAESTHESIA 2011: The European Anaesthesiology Congress: Clinical Experimental Circulation
Kuzkov, V.; Kirov, M.; Lenkin, A.; Suborov, E.; Slastilin, Borodin, Chernov, I.; Shonbin, Bjertnaes, L. Author Information
We present a case report of early surgical treatment abdominal compartment syndrome after aortobifemoral bypass. A 73-year-old man was admitted to the I.I. Mechnikov North-Western State Medical University with critical lower limb ischemia. Aortobifemoral bypass synthetic prosthesis performed via laparotomy. The postoperative period complicated by dynamic bowel obstruction. patient's condition worsened (hypovolemic and septic shock, respiratory failure due severe pneumonia). Initial tactics...