ABSTRACT
The paper presents the results of anesthesia in 55 patients aged 18 to 70 years during radio-frequency ablation for different types of tachycardias.
Subject(s)
Anesthesia, Intravenous/methods , Catheter Ablation/methods , Tachycardia/surgery , Adolescent , Adult , Aged , Blood Gas Analysis , Blood Pressure/physiology , Electrocardiography , Electroencephalography , Female , Heart Conduction System/surgery , Heart Rate/physiology , Humans , Lactates/blood , Male , Middle Aged , Respiratory Mechanics/physiology , Thyroxine/blood , Treatment OutcomeSubject(s)
Blood Coagulation , Heart Defects, Congenital/surgery , Hemorheology , Homeostasis , Postoperative Hemorrhage , Blood Coagulation/physiology , Female , Heart Defects, Congenital/blood , Homeostasis/physiology , Humans , Infant , Infant, Newborn , Male , Monitoring, Physiologic , Postoperative Hemorrhage/blood , Postoperative Hemorrhage/prevention & control , Postoperative Hemorrhage/therapyABSTRACT
Reactions of the sympathoadrenal system were studied during surgical interventions in children aged 1.5-3 years with congenital heart disease operated under conditions of artificial circulation and hypothermia. The state of the sympathoadrenal system was different in uneventful and complicated course of the operation, which may indicate a different efficiency of the neurovegetative blocking and antistress protection from surgical trauma.
Subject(s)
Adrenal Glands/physiology , Cardiopulmonary Bypass , Heart Defects, Congenital/surgery , Sympathetic Nervous System/physiology , Age Factors , Child, Preschool , Data Interpretation, Statistical , Hemodynamics , Humans , InfantABSTRACT
Radical correction of Fallot's tetralogy by means of an approach through the right atrium and pulmonary artery without ventriculotomy (10 patients) or with minimal ventriculotomy (23 patients) was carried out in children whose ages ranged from 13 to 50 months and body weight from 7.9 to 15 kg. Lethality was 12%. The death of 3 patients was not connected with the peculiarities of the surgical tactics, the death of the fourth patient was due to insufficient experience in development of the surgical techniques of the first operations. The operative techniques applied are described in detail and the possibility of adequate correction of Fallot's tetralogy by it is proved principally. The late-term operative results are good in 10 patients. The first results of the suggested method of surgical correction of the anomaly are claimed by the authors to be promising, which allows them to continue its further elaboration.
Subject(s)
Tetralogy of Fallot/surgery , Child, Preschool , Heart Atria/surgery , Humans , Infant , Pulmonary Artery/surgerySubject(s)
Aortopulmonary Septal Defect/complications , Double Outlet Right Ventricle/complications , Heart Defects, Congenital/complications , Aorta/surgery , Aortopulmonary Septal Defect/surgery , Bioprosthesis , Blood Vessel Prosthesis , Child, Preschool , Double Outlet Right Ventricle/surgery , Heart Ventricles/surgery , Humans , Male , Postoperative Care , Pulmonary Artery/surgery , Suture TechniquesSubject(s)
Pulmonary Veins/abnormalities , Transposition of Great Vessels/surgery , Brachiocephalic Veins/abnormalities , Brachiocephalic Veins/surgery , Child, Preschool , Heart Atria/surgery , Humans , Infant , Male , Pulmonary Veins/surgery , Suture Techniques , Vena Cava, Superior/abnormalities , Vena Cava, Superior/surgeryABSTRACT
Acid-base equilibrium and electrolyte balance were studied in 80 infants in the immediate postoperative period after surgery for ventricular septal defect under conditions of extracorporeal circulation. Decompensated metabolic alkalosis was the most characteristic disorder of acid-base equillibrium in patients with an uncomplicated postoperative period, whereas decompensated respiratory alkalosis and metabolic acidosis were characteristic of patients with compensated and decompensated forms of cardiac insufficiency. Plasma hypokaliemia and hypochloremia attended by intracellular retention of sodium were typical disorders of the electrolyte balance in all forms of changes in the acid-base equilibrium.