THE APPLICATION OF POSTURAL DRAINAGE IN COMBINATION WITH PERCUSSION AND VIBRATION AND DYNAMIC ELECTRONEURO STIMULATION (DENAS) AS A MEANS OF PREVENTION OF BRONCHO-PULMONARY COMPLICATIONS WITH INFANTS SUFFERING FROM CONGENITAL HEART DISEASES IN THE EARLY POSTOPERATIVE PERIOD

2021 ◽  
pp. 77-84
Author(s):  
A. A. Pndzhoyan ◽  
Yu. M. Borzunova ◽  
A. A. Fedorov
Keyword(s):  
Postoperative Period ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Early Postoperative Period ◽  
Pulmonary Complications ◽  
Congenital Heart Diseases ◽  
Postural Drainage

PLATELETS COUNT IN EARLY POSTOPERATIVE PERIOD IN YOUNG CHILDREN UNDERWENT CONGENITAL HEART DISEASES SURGERY

2018 ◽  
Author(s):  
Л.З. Бикташева ◽  
В.А. Мазурок ◽  
И.Н. Меньшугин ◽  
А.Е. Баутин ◽  
О.В. Сироткина
Keyword(s):  
Postoperative Period ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Perioperative Complications ◽  
Lung Ventilation ◽  
Early Postoperative Period ◽  
Congenital Heart Diseases ◽  
Early Recovery ◽  
Thoracic Epidural ◽  
The Relationship

Цель исследования: выявить причины развития и определить влияние тромбоцитопении на течение послеоперационного периода у детей после хирургической коррекции врожденных пороков сердца в условиях искусственного кровообращения. Материалы и методы. Проведено сравнение течения раннего послеоперационного периода у детей с применением торакальной эпидуральной (ТЭА) анестезии (n = 68) и высокоопиоидной (ВВА) внутривенной анестезии (n = 84). Взаимосвязь между видом анестезии и результатами хирургического вмешательства оценивали по клинико-лабораторным характеристикам, в том числе по количеству тромбоцитов на 1, 2, 3 сутки и при выписке из стационара. Тромбоцитопенией считали количество тромбоцитов менее 150×109/л. Результаты. При использовании ТЭА уровень интраоперационной гликемии был ниже, а тромбоцитопения на 2 и 3 сутки после операции развивалась реже, чем при ВВА. При ишемии миокарда (ИМ) более 60 минут частота тромбоцитопении на 1 и 3 сутки после операции была выше, чем при ИМ менее 60 минут. Послеоперационная тромбоцитопения коррелировала с развитием дыхательной недостаточности и продленной ИВЛ. Количество тромбоцитов было достоверно ниже на 1 и 3 сутки после операций с выраженной интраоперационной сердечной недостаточностью. Заключение. Ранняя послеоперационная тромбоцитопения коррелирует с периоперационными осложнениями. Использование ТЭА коррелирует с меньшей выраженностью интраоперационной гипергликемии и ранним восстановлением количества тромбоцитов. The aim of study was to identify the reasons of thrombocytopenia development and to determine its effect on postoperative period in children after surgical correction of congenital heart diseases under cardiopulmonary bypass. Materials and methods. We compared 2 groups of children after surgery with thoracic epidural (TEA) anesthesia (n = 68) and high-opioid intravenous (HIA) anesthesia (n = 84) and assessed the relationship between the type of anesthesia and surgery results by clinical and laboratory characteristics, including the number of platelets on 1, 2, 3 days of postoperative period and at discharge from the hospital. Thrombocytopenia was the number of platelets less than 150×109/l. Results. With TEA usage the level of intraoperative glycemia was lower, and thrombocytopenia on 2 and 3 days after surgery developed less frequently than with HIA. Thrombocytopenia occurrence on days 1 and 3 after surgery was higher after myocardial ischemia (MI) for more than 60 minutes than with MI less than 60 minutes. Postoperative thrombocytopenia correlated with the development of respiratory failure and prolonged artificial lung ventilation. Platelets number was significantly lower on 1 and 3 days after operations with severe intraoperative heart failure. Conclusion. Early postoperative thrombocytopenia correlates with perioperative complications. TEA usage correlates with lesser severity of intraoperative hyperglycemia and early recovery of platelets count.

scholarly journals The Predictive Value of Infant-Specific Preoperative Pulmonary Function Tests in Postoperative Pulmonary Complications in Infants with Congenital Heart Diseases

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Xin Liu ◽  
Feng Qi ◽  
Jichang Chen ◽  
Songrong Yi ◽  
Yanling Liao ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Respiratory Rate ◽  
Cardiac Catheterization ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Pulmonary Function Tests ◽  
Lung Compliance ◽  
Pulmonary Complications ◽  
Congenital Heart Diseases ◽  
Postoperative Pulmonary Complications

Background and Objective. To investigate the relationship between infant-specific preoperative pulmonary function tests (PFTs) and postoperative pulmonary complications (PPCs) in infants with congenital heart diseases (CHDs). Methods. Patients of 1-3 years of age who received surgical treatment for CHDs from January 1st, 2009, to December 31st, 2017, were retrieved. Records of preoperative PFTs, methods of operation, anesthesia procedures, intraoperative vital signs, respiratory support modalities, and PPCs was retrieved and analyzed. Results. 122 infants met the preset inclusion criteria, including 72 males and 50 females. There were 76 cases of thoracotomy and 46 cases of cardiac catheterization. The overall incidence of PPCs was 15.6%, including 19.7% after thoracotomy and 8.7% after cardiac catheterization, respectively (p>0.05). The incidence of PPCs was 35.4% or 2.7% in infants with a rapid or a normal respiratory rate, respectively; 42.1% or 3.6% in infants with an abnormal or a normal time to reach peak tidal expiratory flow versus the total expiratory time (TPTEF/TE), respectively; 39.0% or 3.7% in infants with an abnormal or a normal volume to peak expiratory flow versus the total expiratory volume (VPEF/VE), respectively; and 46.9% or 4.4% in infants with a decreased or a normal lung compliance, respectively (p<0.01 in all comparisons). Conclusions. The preoperative abnormal changes in respiratory rate, TPTEF/TE, VPEF/VE, and lung compliance are indicative of the risk of PPCs.

scholarly journals Dynamic electroneurostimulation in the prevention of broncho-pulmonary complications with children of the first year of life suffering from congenital heart diseases in the early post-operating period

2019 ◽  
Vol 18 (1) ◽  
pp. 4-8
Author(s):  
Artavazd A. Pnjoyan ◽  
Yuliya M. Borzunova ◽  
Andrey A. Fedorov ◽  
Elena V. Negodaeva
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Postoperative Period ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Pulmonary Complications ◽  
Control Group ◽  
First Year ◽  
Hospitalization Period ◽  
First Year Of Life

The purpose of the study is to substantiate the use of dynamic electronic neurostimulation as a means of preventing broncho-pulmonary complications with children of the first year of life with congenital heart disease in the early postoperative period. Material and methods. There have been observed 82 children operated on congenital heart disease at an average age of 7.6 2.0 months old. By simple randomization, the patients were divided into two groups. Children who received the dynamic electronic neurostimulation procedure from the first day against the background of basic drug therapy were in the 1st group (40 people). The 2nd group (42 people) included patients who were treated only with basic medication. Results. The result analysis of the study showed a statistically significant effect in the use of dynamic electronic neurostimulation compared to the control group. By evaluating the length of the patients stay in hospital after the operative treatment, significant differences have also been obtained. Thus, the patients in the control group stayed in the unit for an average of 14.6 0.3 days, while the patients in the group where dynamic electronic neurostimulation was used in combination with basic therapy had a hospitalization period of 13.4 0.4 days (p 0.05). The use of DENS allowed to reduce the frequency of complications associated with the bronchopulmonary system starting from 34 days of the postoperative period. Thus, in the control group, 5 (11%) children showed pneumonia, 13 (30%) showed atelectasis or dystelectasis, 23 (55%) showed tracheobronchitis, while in the main group 2 (5%), 6 (15%) and 11 (27.5%) children, respectively. Conclusion. The obtained results of the work show the expediency of including dynamic electronic neurostimulation in the complex of medical and rehabilitation measures in early post-operative period with infants suffering from congenital heart disease.

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