Hydrodinamic status and organ dysfunctions frequency at patients after direct miocardial revascularisation with the different perfusate osmolarity

The prospective randomized trial was conducted to investigate the correlations between extravascular water balance and the frequency of organ dysfunctions after operations with different osmolarity perfusate. The comparative evaluation of the lung water content, lung vascular permeability index global end-diastolic volume was carried at 44 patients with the different severity of heart failure during colloid-crystalloid (Refortan) or crystalloid (Plasmalite) perfusate. We investigated the different compositions of the primary infilling volume according the frequency and severity lung dysfunction and abdominal syndrome after operations. The advantages of hyperosmolarity were the stability in water homeostasis and the reduction of the organ dysfunctions in patients with initial high degree of heart failure.