INTRAHOSPITAL TRANSPORT OF PATIENTS WITH RUPTURE OF CEREBRAL ARTERY ANEURYSM

• Main Authors: A. V. Lokhov, V. I. Gorbachev, E. Yu. Sedova, S. M. Gorbacheva, N. V. Likholetova
• Format: Article
• Language: Russian
• Published: NEW TERRA Publishing House 2017-12-01
• Series: Вестник анестезиологии и реаниматологии
• Subjects: stroke; intrahospital transport; saturation; cerebral angiospasm; acid-base state
• Online Access: https://www.vair-journal.com/jour/article/view/136

Goal: to evaluate cerebral hemodynamics in the patients with aneurysm rupture during their transportation within the hospital. Materials and methods. 60 patients divided into 2 groups were included into the study. Patients from group 1 were transported as it was traditionally adopted in the clinic; additional sedation and continuous administration of nimodipine were used in group 2. Results. The increase of medium blood velocity in cerebral vessels by 23.5% on the operated side was observed in group 1. Continuous administration nimodipine solution during all transport stages allows reducing the velocity increase in cerebral vessels on the operated side down to 4.5%. Conclusion. The increase of cerebral angiospasm was observed during intrahospital transportation. The need for additional sedation has been justified for the patients transported while being on the artificial pulmonary ventilation.