R.Ya. SHPANER^{1-3, A}.Zh. BAYALIEVA^1-3

¹Republican Clinical Hospital of the MH of RT, Kazan

²Kazan State Medical University, Kazan

³Kazan State Medical Academy ― Branch Campus of the RMACPE MOH Russia, Kazan

Contact:

Shpaner R.Ya. ― PhD (medicine), Head of the Department of Anesthesiology and Intensive Care, Associate Professor of the Department of Anesthesiology, Intensive Care and Disaster Medicine

Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel. +7-927-480-45-86, e-mail: rshp@bk.ru

Objective ― to review the literature on the effect of infusion therapy and its composition on the effectiveness of hemodynamic correction in patients with non-traumatic subarachnoid hemorrhages.

Material and methods. A literature review is presented on the modern principles of intensive care for patients with subarachnoid hemorrhage in the acute period, the analysis of the use of infusion therapy in general and its composition is carried out.

Results. It is well known that adequate infusion therapy can achieve normovolemia, normalize cardiac output and oxygen delivery to the affected brain, which significantly improves the clinical prognosis in patients with SAH. A positive clinical effect was observed with the use of high doses of human albumin. In randomized clinical trials, the positive hemodynamic and rheological effects of the use of hypertonic saline solutions have been proven. According to researchers, the use of calcium antagonist drugs that have a corrective effect on the calcium cascade, prevent and correct vasospasm, can be considered a pathogenetically substantiated method of therapy, especially in the first hours and days of a stroke, including SAK.

Conclusions. Correction of hemodynamics in the early stages of SAH development is one of the main areas of intensive care and is aimed at stabilizing the patient’s condition, preventing the development of complications and relapse of SAH.

Key words: subarachnoid hemorrhage, hemodynamic, infusion therapy.

(For citation: Shpaner R.Ya., Bayalieva A.Zh. Infusion therapy as hemodynamic adjustment in patients with acute subarachnoid hemorrhage. Practical medicine. 2019. . Vol. 17, № 6 (part 1), P. 31-34)

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