Functional heart condition during anesthesia on the basis of sevoflurane and propofol in patients of elderly and senile age

Authors

  • Олег Анатольевич Лоскутов National Medical Academy of Postgraduate Education named after P. L. Shupyk st. Dorogozhytska 9, Kiev, Ukraine, 04112, Ukraine
  • Александр Николаевич Дружина National Medical Academy of Postgraduate Education named after P. L. Shupyk st. Dorogozhytska 9, Kiev, Ukraine, 04112 SI "Heart Institute Ministry of Health of Ukraine" st. Bratislava, 5a, Kiev, Ukraine, 02660, Ukraine

DOI:

https://doi.org/10.15587/2313-8416.2015.42069

Keywords:

anesthesia, sevoflurane, propofol, elderly and senile age, functional heart condition

Abstract

The hemodynamic parameters using balanced anesthesia based on propofol and sevoflurane in elderly patients are studied. The aim of the present work was to study the parameters of systemic hemodynamics in anesthesiology maintenance of operations coronary artery bypass graft in elderly and senile patients.

Methods. A total of 36 patients from 65 to 83 years who underwent myocardial revascularization using sevoflurane and propofol are examined. The indicators that reflect the functional state of the heart, coronary blood flow and systemic hemodynamics in general are registered.

Results. For combining use of sevoflurane and propofol it is observed a decrease of stroke work index of left ventricular, stroke index, ejection fraction, which was accompanied by decrease in the degree of shortening of the anteroposterior size of the left ventricle during systole and a decrease in the index of general peripheral resistance. Coronary perfusion index also tended to decrease.

Conclusion. Using a combination of sevoflurane and propofol during coronary artery bypass graft in elderly and senile patients it is recorded a decrease of contractile ability of the myocardium and coronary blood flow depletion, which was connected with vasodilatation and decrease of coronary perfusion

Author Biographies

Олег Анатольевич Лоскутов, National Medical Academy of Postgraduate Education named after P. L. Shupyk st. Dorogozhytska 9, Kiev, Ukraine, 04112

MD, Senior Research Fellow, Professor

Department of "Anesthesiology and Intensive Care"

Александр Николаевич Дружина, National Medical Academy of Postgraduate Education named after P. L. Shupyk st. Dorogozhytska 9, Kiev, Ukraine, 04112 SI "Heart Institute Ministry of Health of Ukraine" st. Bratislava, 5a, Kiev, Ukraine, 02660

PhD, Associate Professor

Department of "Anesthesiology and Intensive Care"

anesthesiologist, head of the department

вranch "extracorporeal therapies №8»

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Published

2015-04-28

Issue

Vol. 4 No. 4(9) (2015)

Section

Medical

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Copyright (c) 2015 Олег Анатольевич Лоскутов, Александр Николаевич Дружина

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