The tactics of respiratory therapy after palliative anastomosis fallot's tetralogy patients with hypervolemia lesser circulation during intensive management
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چکیده
Materials and Methods 81 patients with and lesser circulation after elective surgery regulated subclavian-pulmonary anastomosis for the last 2 years, in the ICU RSCS after V.Vakhidov. Proximal end of tourniquet regulators was used in case of 39 patients and Fogarty catheter for volume dosing of shunt was used in case of 42 patients. Clinical examination: EchoCG (with detection of velocity of blood flowing through the subclavian-pulmonary regulated anastomosis), ECG, chest X-rays (with special emphasis on assessing the degree of blood filling in the pulmonary circulation); cardiac monitoring: heart rate, blood pressure, central venous pressure, gas exchange parameters and deep oxygen status (pH, SpO2, pO2, pCO2, lactate); monitoring of hemoglobin, hematocrit levels and data of blood coagulation.
منابع مشابه
[Aortic origin of the left pulmonary artery in an infant with Fallot's tetralogy].
We report the case of a male neonate who had a prenatal diagnosis of Fallot's tetralogy. He presented with respiratory distress during the second week of life. Chest x-ray showed an enlarged right ventricle and pulmonary edema. Echocardiography demonstrated characteristic features of Fallot's tetralogy. However, cardiac catheterization disclosed that, in this case of Fallot's tetralogy, the lef...
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