Optimization of Infusion Therapy in Patients with Mechanical Jaundice During the Surgical Period, Taking into Account Cardiac Dysfunction

S.Sh. Joniev; I.B. Shodmonov

Authors

S.Sh. Joniev Samarkand State Medical University, Samarkand, Uzbekistan
I.B. Shodmonov Samarkand State Medical University, Samarkand, Uzbekistan

Abstract

Pathologies occurring in elderly patients are characterized by severe complications affecting the body. The importance of perioperative monitoring of key homeostatic indicators, including colloid-osmotic pressure, plasma osmolarity, and blood coagulation potential, is emphasized. Changes in these indicators are inevitable during surgical interventions, particularly in patients with comorbidities and the elderly. Correcting volume disturbances is one of the primary tasks determining the outcome of surgical treatment. Infusion-transfusion therapy using colloid and crystalloid solutions, along with accompanying hemodilution, significantly affects homeostasis indicators. To gain a deeper understanding of the pathophysiology of these processes, this literature review was conducted.

References

1. Aralov U.A. Joniyev, S. Sh., Raximov, A. U. Improving the effectiveness of preoperative preparation methods in thyroid surgery [Text] / A.U. Aralov, S. Sh. Joniyev, A. U. Raximov // Problems of Biology and Medicine. — 2015. — № 1. — P. 11-14.

2. Joniev S.Sh., Rakhimov A.U., Comparison of methods of preoperative preparation in thyroid gland / Joniev S.Sh., Rakhimov A.U., [Text] // VI International conference "Sharing the results of research towards closer global convergence of scientists". — Ontario, Canada: 1807-150 Charlton av. East Hamilton, 2015. — P. 38-43.

3. Joniyev, S. Sh., Babajanov, A. S. Evaluation of the effectiveness of preoperative preparation and anesthesia in patients with thyroid pathologies / S. Sh. Joniyev, A. S. Babajanov [Text] // Materials of the "XXI Century - the Century of Intellectual Generation" Samarkand Regional Scientific-Practical Conference. — Samarkand, Uzbekistan: SamSMI Publishing, 2016. — P. 190-193.

4. Joniev S.Sh. Features of preoperative preparation and anesthesia in thyroid pathology [Text] / Joniev S.Sh. // British Medical Journal. — 2022. — № Volume-2, No 4. — P. 212-215.

5. Joniev S.Sh. Anesthesiological allowance for operations for diffuse goiter [Text] / Joniev S.Sh. // Journal of integrated education and research. — 2022. — № Volume 1, Issue 5. — P. 19-26.

6. Abdulaev, E. G. Plasmapheresis in the comprehensive treatment of patients with obstructive jaundice / E. G. Abdulaev, V. V. Babyshin // Bulletin of Surgery. – 2013. – № 1/2. – P. 92–95.

7. Acute massive blood loss / A. I. Vorobiev [et al.] – M., 2017. – 132 p.

8. Pugaev, A. V. Assessment of nutritional status and determination of the need for nutritional support / A. V. Pugaev, E. E. Achkasov. – M., 2017. – 86 p.

9. Galperin, E. I. Guide to biliary tract surgery / E. I. Galperin, P. S. Vetshev. – M., 2019. – 568 p.

10. Enteral artificial nutrition in clinical medicine / A. L. Kostyuchenko, O. G. Zhelezny, A. K. Shvedov. – Petrozavodsk, 2014. – 202 p.

11. Luzhnikov, E. A. Detoxification therapy / E. A. Luzhnikov, Yu. S. Goldfarb, S. G. Musselius. – St. Petersburg, 2014. – 236 p.

12. Park, G. Infusion therapy / G. Park, P. Row. – M., 2015. – 134 p.

13. Pasricha, P. J. Therapy of sphincter of Oddi dysfunction / P. J. Pasricha, A. N. Kalloo // Gastrointest. Endosc. Clin. N. Am. – 2012. – Vol. 6, № 1. – P. 117–125.

14. Milroy, D. R. Acute intravascular volume expansion with rapidly administered crystalloid or colloid in the setting of moderate hypovolemia / D. R. Milroy, E. D. Kharasch // Anesth. Analg. – 2015. – Vol. 96. – P. 1572–1577.

15. Freedman Y. Y., Blajchman M. A., Combie N. M. Transfusion Medicine Reviews. 2013;8(1):67-69.

16. P.X. Xaliqov, N.Sh. Sharofiddinxo’jayev Biology 2005. – P. 232-269.

17. Joniev S.Sh. Improving the results of anesthesia in thyroid pathology [Text] / Joniev S.Sh. // Uzbek Medical Journal. — 2022. — № Volume 3, Issue 3. — P. 23-28.

18. Joniyev S. Sh., Pardayev Sh. K. Application of general multicomponent anesthesia in thyroid surgeries [Text] / S. Sh. Joniyev, Sh. K. Pardayev // New Day in Medicine. — 2021. — № 6 (38/1). — P. 443-479.

19. Joniev S.Sh. Determining the level of preoperative preparation and conducting anesthesia in patients with thyroid pathologies [Text] / Joniev S.Sh. // Danish Scientific Journal (DSJ). — 2022. — № 59. — P. 19-23.

20. Joniev S.Sh. Improvement of the results of anesthesia in thyroid pathology [Text] / Joniev S.Sh. // Annali d’Italia. — 2022. — № Vol 1. 30. — P. 78-82.

21. Joniev S.Sh., Yakubov I., Pormonov Kh., Daminov I., Ensuring adequate premedication in patients with thyroid pathology [Text] / Joniev S.Sh., Yakubov I., Pormonov Kh., Daminov I. // Norwegian Journal of Development of the International Science. — 2022. — № 86. — P. 17-20.

22. Joniev S.Sh., Tukhsanbaev S., Kurbanov K., Abdaliev D., Predicting the effectiveness of anesthesia in thyroid pathology [Text] / Joniev S.Sh., Tukhsanbaev S., Kurbanov K., Abdaliev D. // Polish Journal of Science. — 2022. — № 51. — P. 30-34.

23. Joniev S.Sh., Ganiev A., Ibrokhimov Z., Melikboboev A., Analysis of the effectiveness of anesthesia methods in thyroid pathology [Text] / Joniev S.Sh., Ganiev A., Ibrokhimov Z., Melikboboev A. // Znanstvena Misel Journal Slovenia. — 2022. — № 67. — P. 32-35.