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[State of the blood circulation system in stabilization of blood with sodium citrate during hemosorption in patients with acute poisoning].

The time course of cardiovascular parameters in the course of citrate hemoperfusion was studied by routine noninvasive methods: tetrapolar thoracic rheoplethysmography, acceleration kineticocardiography, transesophageal diagnostic electrocardiostimulation, and electrocardiography. Hemoperfusion was carried out at a bloodstream velocity of 100 ml/min. Blood preserving agent glucigar was used for blood stabilization, with the citrate to blood ratio 1:1 maintained. Analysis of changes in the central hemodynamics and phase structure of left-ventricular systole was carried out in two groups of patients with the normo- and hypodynamic circulation. No appreciable changes in the hemo- and cardiodynamics were observed over the course of hemoperfusion with sodium citrate stabilization in patients with normodynamic circulation, nor were any adverse reactions on the part of the cardiovascular system observed in the patients with hypodynamic circulation. Reliable changes in the electrophysiological parameters were not recorded either. Moreover, hemosorption did not involve arrhythmias or conduction disorders.