[The effect of the methods of anesthesiological assistance and blood oxygenation on the oxygen-transport properties of the blood in reconstructive interventions on the abdominal aorta and vessels of the lower extremities]

Abstract

Methemoglobin (MtHb) formation was studied during reconstructive operations on the abdominal aorta and its branches. It was established that the appearance of pain at rest and trophic tissue disorders in the lower extremities causes intensification of MtHb formation. The intensity of MtHb formation increases sharply during the operation and is determined by the injurious character of the intervention, level of arterial blood oxygenation, and the efficacy of nociceptive pulsation block. Arterial blood hyperoxia proved to be among the most important factors of increased MtHb formation and decreased blood oxygen capacity. Nociceptive pulsation block is less effective in general anesthesia than in epidural anesthesia and also increases the content of MtHb in the blood and the severity of the stress and reperfusion damages of the tissues and organs. On the basis of the results of the study it is concluded that normoxia of arterial blood and denervation of the operative zone reduce the risk of ischemic and hypoxic complications in patients with generalized atherosclerosis.