«Anesteziologiya i Reanimatologiya
» №
3 2013
Abstracts of the articles
AN-1303-004
CHOICE OF OPTIMAL PERFUSION FLOW RATE DURING SURGICAL CORRECTION OF COMBINED
VALVULAR HEART DESEASE
Lenkin A.I. 1, Zaharov V.I 2., Smetkin A.A. 2, Lenkin P.I. 2, Kirov M.Yu. 2
1 City Hospital No 1, 163001, Archangelsk, Russia; 2 Northen State Medical Univercity, 163001,
Archangelsk, Russia
Cardiac output during the use of cardiopulmonary bypass (CPB) is defined by perfusion flow rate, which is
calculated by multiplying the perfusion index (PI) on the body surface area. To date, there is no clear
definition of an optimal PI and flow rate of perfusion. 60 patients operated with CPB were enrolled in the
prospective study to determine the relations between different modes of perfusion and oxygen transport
during surgical correction of combined valvular heart disease. Calculation of the CPB flow rate was based on
PI 2.5 and 3.0 l/min/m2. Results of the study demonstrate that perfusion based on PI 2.5 l/min/m2 provides
more stable oxygen transport parameters and reduces the time of ICU stay in comparison with the flow rate
based on PI 3.0 l/min/m2.
Key words: perfusion flow rate, cardiac surgery, valvular heart disease
AN-1303-009