CAPILLARY BLOOD GAS COMPOSITION INDICATORS AS MARKERS OF THE HEMODYNAMIC SIGNIFICANCE OF THE PATENT DUCTUS ARTERIOSUS
https://doi.org/10.34822/2304-9448-2021-2-85-90
Abstract
The study aims to assess the significance of capillary blood gas indicators in premature infants with extremely low body weight in combination with the rigidity of artificial ventilation parameters as markers of the persisting hemodynamic significance of the patent ductus arteriosus. Material and Methods. A retrospective cohort study of clinical and anamnestic data, indicators of the capillary blood gas composition, parameters of artificial ventilation of the lungs of newborns with extremely low body weight with hemodynamically insignificant and hemodynamically significant patent ductus arteriosus is carried out. Results. In the group of newborns with hemodynamically significant patent ductus arteriosus from the 7th to the 10th day of life, more stringent parameters of artificial ventilation were revealed. By the 9th day, higher values of the total content of carbon dioxide, bicarbonate, and standard bicarbonate were noted. Signs of respiratory acidosis requiring a tightening of the parameters of mechanical ventilation and persisting in the second week of life in infants with extremely low body weight, that is, in the period when uncomplicated respiratory distress syndrome of newborns should already be stabilized, can be markers of the persisting hemodynamic significance of patent ductus arteriosus. The use of indicators of the gas composition of capillary blood in combination with the rigidity of the parameters of artificial ventilation in infants with extremely low body weight for the assessment of respiratory disorders with a functioning arterial duct is pathogenetically substantiated.
About the Authors
M. V. Perestoronina
Omsk State Medical University,
Neonatologist, Maternity Clinic № 4, Omsk
Russian Federation
Russian Federation
Mariya V. Perestoronina – Candidate of Sciences (Medicine), Assistant Professor of the Pathophysiology, Clinical
Pathophysiology Department,
SPIN: 9486-4556
AuthorID: 638421
Е-mail: mary323@mail.ru
O. V. Korpacheva
Omsk State Medical University, Omsk
Russian Federation
Russian Federation
Doctor of Sciences (Medicine), Docent, Professor of the Pathophysiology, Clinical Pathophysiology Department
SPIN: 8869-6112
AuthorID: 352365
Е-mail: olgkor@mail.ru
S. V. Palyanov
Omsk State Medical University,
City Clinical Prenatal Centre, Omsk
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Associate Professor, Pathophysiology, Clinical Pathophysiology Department,
Emergency Physician
SPIN: 5499-9270
AuthorID: 127527
Е-mail: svpomsk@bk.ru
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Review
For citations:
Perestoronina M.V., Korpacheva O.V., Palyanov S.V. CAPILLARY BLOOD GAS COMPOSITION INDICATORS AS MARKERS OF THE HEMODYNAMIC SIGNIFICANCE OF THE PATENT DUCTUS ARTERIOSUS. Vestnik SurGU. Meditsina. 2021;(2 (48)):85-90. (In Russ.) https://doi.org/10.34822/2304-9448-2021-2-85-90
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