Volume 15 Issue 02, February 2025
Impact factor: 2019: 4.679 2020: 5.015 2021: 5.436, 2022: 5.242, 2023:
6.995, 2024 7.75
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462
RESTORATION OF HEMODYNAMICS AFTER HEART SURGERIES
Muhammadziyoyev Habibullo Hamidullo ugli
Student of the 47-22 group,
3rd year of Medical Treatment Department,
Fergana Public Health Medical Institute.
Axmadaliyev Shoxrux Shuxratovich
Scientific leader
Head of the Department of Pediatrics,
Fergana Institute of Public Health, PhD
Abstract:
Restoration of hemodynamic stability in patients after cardiac surgery is of paramount
importance, affecting the patient's recovery process, reducing postoperative complications, and
long-term quality of life. This article provides an in-depth review of hemodynamic monitoring
after cardiac surgery, pharmacological and hardware approaches, invasive and noninvasive
therapy methods, and rehabilitation strategies.
Keywords:
Cardiac surgery, hemodynamics, resuscitation, inotropic drugs, vasopressors,
extracorporeal membrane oxygenation (ECMO), cardiac rehabilitation, infusion therapy.
Research Objectives.
The main objective of the article is to analyze the most effective modern
approaches to restoring hemodynamic parameters in patients after cardiac surgery and to assess
the effectiveness of their implementation in practice. Evidence-based conclusions are made on
which methods and drugs are most effective in postoperative intensive care.
Relevance.
Cardiac surgery plays an important role in the treatment of ischemic heart disease,
valvular insufficiency, and congenital heart defects. However, after surgery, patients experience
hemodynamic instability, which can lead to the development of postoperative heart failure,
cardiogenic shock, arrhythmias, and other serious complications. Therefore, improving
hemodynamic monitoring and therapeutic approaches is essential to improve the quality of life of
patients and reduce mortality.
Methods and materials used.
The study involved 200 patients in intensive care and intensive
care units after cardiac surgery. The study following from stages consists of it has been :
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1.
Hemodynamic monitoring:
o
Central venous pressure ( CVP ), heart output ( CO ), arterial blood blood
pressure ( BP ) and oxygen saturation ( SpO 2 ) indicators studied.
o
Echocardiography and invasive hemodynamic monitoring methods analysis was
done.
2.
Pharmacological therapy:
o
The effectiveness of inotropic drugs (dobutamine, milrinone) and vasopressors
(noradrenaline, adrenaline) was evaluated.
o
The effect of diuretic therapy in patients with heart failure was reviewed.
3.
Infusion therapy and fluids balance:
o
Crystalloid and colloid solutions with volume filling strategies analysis was done.
o
Hemodynamics stability provision optimal fluid for balance working It was
released.
4.
Hardware support:
o
Extracorporeal membrane oxygenation ( ECMO ) and intraaortic cylinder
counterpulsation ( IABP ) methods used of patients results compared.
o
Artificial
heart - blood rotation from the system then hemodynamic of
stability recovery analysis was done.
Research results.
Hemodynamic monitoring:
o
Heart from the operation next in the first 24 hours in 35 percent of patients
hemodynamic stability noticeable at the level broken observed.
o
Invasive monitoring methods ( PA catheter, PiCCO ) heart release faction
right in evaluation effective that was determined.
Pharmacological therapy:
o
Inotropic drugs in line milrinone the most effective that found because
she is
peripheral resistance reduce, heart release increased.
o
Noradrenaline has been observed to be effective in stabilizing arterial pressure at
low doses.
Infusion therapy:
o
Crystalloid and colloid solutions balanced use
hemodynamic parameters to
improve help gave.
o
Diuretic therapy has shown moderate efficacy in heart failure.
Hardware help:
o
ECMO is difficult heart in short supply death level noticeable to reduce help gave.
o
IABP heart exit to increase help gave , but only early postoperative in the period
effective it has been.
Conclusion.
Research results this showed that the heart from operations then hemodynamics
in recovery complex approach important importance The first 24–48 hours
inside invasive
monitoring, pharmacological therapy and hardware from support
effective use
complications reduces and of patients recovery process accelerates. Inotropic therapy and liquid
Volume 15 Issue 02, February 2025
Impact factor: 2019: 4.679 2020: 5.015 2021: 5.436, 2022: 5.242, 2023:
6.995, 2024 7.75
http://www.internationaljournal.co.in/index.php/jasass
464
balance heart from operations next in patients hemodynamic stability in providing important
role plays. Also, advanced
monitoring technologies and new from drugs use
effectiveness further improve possible.
References
1.
Fuster, W., & Harrington, RA (2017). Hurst's The Heart, 14th Edition . McGraw -Hill
Education.
2.
Brown, DL (2018). Cardiovascular Intensive Care . Elsevier .
3.
Ranucci, M., & Johnson, C. (2020). Hemodynamics and Cardiac Surgery . Springer.
4.
Allen, JG, & Arnaoutakis, GJ (2021). Postoperative Hemodynamic Management in
Cardiac Surgery . The Annals of Thoracic Surgery .
5.
Bartels, K., & Smith, M. (2021). Advanced Hemodynamic Monitoring in Cardiac
Surgery Patients. Journal of Cardiothoracic oath Vascular Anesthesia.
