Central hemodynamic parameter changes at the severe traumatic brain injury
Objectives. To define specific features of central hemodynamic parameter changes at the isolated severe traumatic brain injury (STBI). Methods. The study of central hemodynamic parameters was carried out in 13 patients with the isolated STBI - the 1st group as well as in 15 patients with the isolated STBI and the determined brain death - the 2nd group. The parameters of central hemodynamics were investigated using the method of transpulmonary thermodilution. The 1st group patients were monitored in the acute period of traumatic disease for 7 days following the injury. The 2nd group patients' central hemodynamic parameters were monitored during 1-3 days. Results. The performed study revealed various types of hemodynamic reaction in the patients with the isolated STBI in the acute period of traumatic disease and in the patients with the clinically determined brain death. Conclusions. Monitoring of the central hemodynamics parameters allows determining the cause of disorders as well as timely correcting of the developed disturbances, purposefully changing the infusion inotropic and vasopressor therapy strategy.