PHARMACOLOGICAL PROPHYLAXIS OF REPERFUSION SYNDROME IN PATIENTS WITH SEVERE POLYTRAUMA ACCOMPANIED BY SHOCK

A comparative assessment of buffer activity of reamberin and polyoxyfumaren was made. Their influence on systemic consumption of oxygen, content of lactate in blood, parameters of central hemodynamics were followed. The research includes 44 victims (aged 25–70 years) with severe shockogenic injuries...

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Main Authors: Yu. S. Polushin, B. N. Shakh, V. M. Teplov, D. B. Smirnov, S. S. Komedev
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2018-01-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/654
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author Yu. S. Polushin
B. N. Shakh
V. M. Teplov
D. B. Smirnov
S. S. Komedev
author_facet Yu. S. Polushin
B. N. Shakh
V. M. Teplov
D. B. Smirnov
S. S. Komedev
author_sort Yu. S. Polushin
collection DOAJ
description A comparative assessment of buffer activity of reamberin and polyoxyfumaren was made. Their influence on systemic consumption of oxygen, content of lactate in blood, parameters of central hemodynamics were followed. The research includes 44 victims (aged 25–70 years) with severe shockogenic injuries. Reamberin was included in composition of fluid therapy of I group (n=30) and polyoxyfumaren was used in II group (n=14). Parameters of acid-base balance of arterial blood, VO², VCO², contents of lactate in mixed venous blood, parameters of central hemodynamics were measured in monitor regimen before the infusion. It was proved, that the intravenous infusion of reamberin and polyoxyfumaren accompanied by reliable rise of minute consumption of oxygen (27 and 18% respectively). The drugs decrease the lactate level in blood, reliably increase buffer capacity of blood, correct the metabolic acidosis. Both antihypoxanthines allow the increase of minute volume of circulation: reamberin on 15%, polyoxyfumaren on 34,9%. The volemic effect of polyoxyfumaren resulted in the increase of circular plasma volume after finishing the infusion on 49,5%, in the case of reamberin — on 16%.
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institution Kabale University
issn 0042-4625
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publisher Pavlov First Saint Petersburg State Medical University
record_format Article
series Вестник хирургии имени И.И. Грекова
spelling doaj-art-1fcd8086d1d4479cbfc81cc62ee554fa2025-08-20T03:43:57ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-01-01172504104510.24884/0042-4625-2013-172-5-041-045653PHARMACOLOGICAL PROPHYLAXIS OF REPERFUSION SYNDROME IN PATIENTS WITH SEVERE POLYTRAUMA ACCOMPANIED BY SHOCKYu. S. Polushin0B. N. Shakh1V. M. Teplov2D. B. Smirnov3S. S. Komedev4Dzhanelidze Research Institute of Emergency MedicineDzhanelidze Research Institute of Emergency MedicineDzhanelidze Research Institute of Emergency MedicineDzhanelidze Research Institute of Emergency MedicineDzhanelidze Research Institute of Emergency MedicineA comparative assessment of buffer activity of reamberin and polyoxyfumaren was made. Their influence on systemic consumption of oxygen, content of lactate in blood, parameters of central hemodynamics were followed. The research includes 44 victims (aged 25–70 years) with severe shockogenic injuries. Reamberin was included in composition of fluid therapy of I group (n=30) and polyoxyfumaren was used in II group (n=14). Parameters of acid-base balance of arterial blood, VO², VCO², contents of lactate in mixed venous blood, parameters of central hemodynamics were measured in monitor regimen before the infusion. It was proved, that the intravenous infusion of reamberin and polyoxyfumaren accompanied by reliable rise of minute consumption of oxygen (27 and 18% respectively). The drugs decrease the lactate level in blood, reliably increase buffer capacity of blood, correct the metabolic acidosis. Both antihypoxanthines allow the increase of minute volume of circulation: reamberin on 15%, polyoxyfumaren on 34,9%. The volemic effect of polyoxyfumaren resulted in the increase of circular plasma volume after finishing the infusion on 49,5%, in the case of reamberin — on 16%.https://www.vestnik-grekova.ru/jour/article/view/654травматический шокреперфузиясубстратные антигипоксантыреамберинполиоксифумаринreperfusion syndrometraumareamberinpolyoxyfumaren
spellingShingle Yu. S. Polushin
B. N. Shakh
V. M. Teplov
D. B. Smirnov
S. S. Komedev
PHARMACOLOGICAL PROPHYLAXIS OF REPERFUSION SYNDROME IN PATIENTS WITH SEVERE POLYTRAUMA ACCOMPANIED BY SHOCK
Вестник хирургии имени И.И. Грекова
травматический шок
реперфузия
субстратные антигипоксанты
реамберин
полиоксифумарин
reperfusion syndrome
trauma
reamberin
polyoxyfumaren
title PHARMACOLOGICAL PROPHYLAXIS OF REPERFUSION SYNDROME IN PATIENTS WITH SEVERE POLYTRAUMA ACCOMPANIED BY SHOCK
title_full PHARMACOLOGICAL PROPHYLAXIS OF REPERFUSION SYNDROME IN PATIENTS WITH SEVERE POLYTRAUMA ACCOMPANIED BY SHOCK
title_fullStr PHARMACOLOGICAL PROPHYLAXIS OF REPERFUSION SYNDROME IN PATIENTS WITH SEVERE POLYTRAUMA ACCOMPANIED BY SHOCK
title_full_unstemmed PHARMACOLOGICAL PROPHYLAXIS OF REPERFUSION SYNDROME IN PATIENTS WITH SEVERE POLYTRAUMA ACCOMPANIED BY SHOCK
title_short PHARMACOLOGICAL PROPHYLAXIS OF REPERFUSION SYNDROME IN PATIENTS WITH SEVERE POLYTRAUMA ACCOMPANIED BY SHOCK
title_sort pharmacological prophylaxis of reperfusion syndrome in patients with severe polytrauma accompanied by shock
topic травматический шок
реперфузия
субстратные антигипоксанты
реамберин
полиоксифумарин
reperfusion syndrome
trauma
reamberin
polyoxyfumaren
url https://www.vestnik-grekova.ru/jour/article/view/654
work_keys_str_mv AT yuspolushin pharmacologicalprophylaxisofreperfusionsyndromeinpatientswithseverepolytraumaaccompaniedbyshock
AT bnshakh pharmacologicalprophylaxisofreperfusionsyndromeinpatientswithseverepolytraumaaccompaniedbyshock
AT vmteplov pharmacologicalprophylaxisofreperfusionsyndromeinpatientswithseverepolytraumaaccompaniedbyshock
AT dbsmirnov pharmacologicalprophylaxisofreperfusionsyndromeinpatientswithseverepolytraumaaccompaniedbyshock
AT sskomedev pharmacologicalprophylaxisofreperfusionsyndromeinpatientswithseverepolytraumaaccompaniedbyshock