Hemodynamic Disorders in Severe Brain Injury
This study was undertaken to determine the general regularities of hemodynamic disorders in relation to the severity of brain damage for the subsequent development of pathogenetically warranted methods for their correction in the complex of intensive care for severe brain injury. Studies were made i...
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| Format: | Article |
| Language: | English |
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2006-06-01
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| Series: | Общая реаниматология |
| Subjects: | |
| Online Access: | https://www.reanimatology.com/rmt/article/view/1142 |
| _version_ | 1826562421787983872 |
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| author | Yu. A. Churlyaev V. Ya. Martynenkov L. Yu. Redkokasha K. V. Lukashov E. N. Denisov |
| author_facet | Yu. A. Churlyaev V. Ya. Martynenkov L. Yu. Redkokasha K. V. Lukashov E. N. Denisov |
| author_sort | Yu. A. Churlyaev |
| collection | DOAJ |
| description | This study was undertaken to determine the general regularities of hemodynamic disorders in relation to the severity of brain damage for the subsequent development of pathogenetically warranted methods for their correction in the complex of intensive care for severe brain injury. Studies were made in 67 victims, by using neurophysiological studies (electroencephalography, studies of acoustical stem-evoked potentials and somatosensory stem-evoked potentials), computed tomography and magnetic resonance imaging. Central hemodynamics was studied by a Sirecust 1260 monitoring system using Swan-Ganz catheters and thermodilution. The overall condition of the victims was regarded as very bad. Loss of consciousness was 8-4 scores by the Glasgow coma scale. The studies have indicated that the victims in whose clinical picture the signs of compression of the cerebral hemispheres dominate over those of the latter’s contusion develop a hemodynamic reaction by the normodynamic type. The hyperdynamic type of hemodynamic disorder develops in cerebral hemispheric and diencephalic lesions with a parallel increase in oxygen transport and uptake; and in severe brain injury, lower brain stem damages are accompanied by hemodynamic disorder by the hypodynamic type with a reduction in oxygen transport and uptake. |
| first_indexed | 2024-04-10T01:31:34Z |
| format | Article |
| id | doaj.art-72d33f20a21e49a0bca26312f1d335ef |
| institution | Directory Open Access Journal |
| issn | 1813-9779 2411-7110 |
| language | English |
| last_indexed | 2025-03-14T09:47:48Z |
| publishDate | 2006-06-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj.art-72d33f20a21e49a0bca26312f1d335ef2025-03-02T11:29:25ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102006-06-01235810.15360/1813-9779-2006-3-5-81142Hemodynamic Disorders in Severe Brain InjuryYu. A. Churlyaev0V. Ya. Martynenkov1L. Yu. Redkokasha2K. V. Lukashov3E. N. Denisov4Branch of the Research Institute of General Reanimatology, Russian Academy of Medical Sciences; Novokuznetsk State Institute for Postgraduate Training of PhysiciansBranch of the Research Institute of General Reanimatology, Russian Academy of Medical Sciences; Novokuznetsk State Institute for Postgraduate Training of PhysiciansBranch of the Research Institute of General Reanimatology, Russian Academy of Medical Sciences; Novokuznetsk State Institute for Postgraduate Training of PhysiciansBranch of the Research Institute of General Reanimatology, Russian Academy of Medical Sciences; Novokuznetsk State Institute for Postgraduate Training of PhysiciansBranch of the Research Institute of General Reanimatology, Russian Academy of Medical Sciences; Novokuznetsk State Institute for Postgraduate Training of PhysiciansThis study was undertaken to determine the general regularities of hemodynamic disorders in relation to the severity of brain damage for the subsequent development of pathogenetically warranted methods for their correction in the complex of intensive care for severe brain injury. Studies were made in 67 victims, by using neurophysiological studies (electroencephalography, studies of acoustical stem-evoked potentials and somatosensory stem-evoked potentials), computed tomography and magnetic resonance imaging. Central hemodynamics was studied by a Sirecust 1260 monitoring system using Swan-Ganz catheters and thermodilution. The overall condition of the victims was regarded as very bad. Loss of consciousness was 8-4 scores by the Glasgow coma scale. The studies have indicated that the victims in whose clinical picture the signs of compression of the cerebral hemispheres dominate over those of the latter’s contusion develop a hemodynamic reaction by the normodynamic type. The hyperdynamic type of hemodynamic disorder develops in cerebral hemispheric and diencephalic lesions with a parallel increase in oxygen transport and uptake; and in severe brain injury, lower brain stem damages are accompanied by hemodynamic disorder by the hypodynamic type with a reduction in oxygen transport and uptake.https://www.reanimatology.com/rmt/article/view/1142severe brain injuryhyperdynamichypodynamicand normodynamic types of circulationbrain injury |
| spellingShingle | Yu. A. Churlyaev V. Ya. Martynenkov L. Yu. Redkokasha K. V. Lukashov E. N. Denisov Hemodynamic Disorders in Severe Brain Injury Общая реаниматология severe brain injury hyperdynamic hypodynamic and normodynamic types of circulation brain injury |
| title | Hemodynamic Disorders in Severe Brain Injury |
| title_full | Hemodynamic Disorders in Severe Brain Injury |
| title_fullStr | Hemodynamic Disorders in Severe Brain Injury |
| title_full_unstemmed | Hemodynamic Disorders in Severe Brain Injury |
| title_short | Hemodynamic Disorders in Severe Brain Injury |
| title_sort | hemodynamic disorders in severe brain injury |
| topic | severe brain injury hyperdynamic hypodynamic and normodynamic types of circulation brain injury |
| url | https://www.reanimatology.com/rmt/article/view/1142 |
| work_keys_str_mv | AT yuachurlyaev hemodynamicdisordersinseverebraininjury AT vyamartynenkov hemodynamicdisordersinseverebraininjury AT lyuredkokasha hemodynamicdisordersinseverebraininjury AT kvlukashov hemodynamicdisordersinseverebraininjury AT endenisov hemodynamicdisordersinseverebraininjury |