MONITORING OF CENTRAL HEMODYNAMICS IN PATIENTS WITH MULTIPLE ORGAN DYSFUNCTION SYNDROME

Objective: comparative analysis of the use PiCCO monitoring for correction intensive care in patients with multiple organ dysfunction syndrome (MODS) after abdominal and cardiac surgery. Material methods. A prospective cohort study was carried out 19 MODS (n=10) (n=9) interventions. Of these, 13 men 6 women, aged 63 (58-69) years, their height 176 (174-180) cm, body weight - 90 (80-100) kg. Central hemodynamic parameters were monitored these by method. Several steps have been distinguished study: 1st stage day surgery, 2nd etc. Results. In compared group significantly (p <0.001) lower preload indices (global end-diastolic volume index, intrathoracic blood index) noted at 1-2 stages, as well (p<0.05) rates contractility (continuous output index 1-4 stroke 1-5 stages). When analyzing treatment frequency dobutamine (p=0.017) simultaneous 3 vasoactive substances (p=0.0495) statistically higher than undergoing Conclusions. Monitoring central hemodynamics enables to individualize infusion therapy, vasopressor inotropic support