Email this article Preoperative treatment and anesthesia for cesarean section in pregnant women with heart septal lesions and pulmonary hypertension
- Authors: Tkachev A.V.1, Rimashevsky V.V.1
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Affiliations:
- Belorussian Medical Academy of Postgraduate Education
- Issue: Vol 4, No 1 (2010)
- Pages: 37-52
- Section: Articles
- URL: https://journal-vniispk.ru/1993-6508/article/view/36073
- DOI: https://doi.org/10.17816/ра.v4i1.36073
- ID: 36073
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Abstract
The objectives of this study were comprehensive examination of pulmonary function and circulation in pregnant women with pulmonary hypertension 3-4 class of severity and evaluation of effectiveness of spinal anesthesia for cesarean section in these patients. The 59 patients were examined. The results of the study indicate that spinal blockade is an appropriate choice of anesthesia for cesarean section in given group of patients.
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##article.viewOnOriginalSite##About the authors
A. V. Tkachev
Belorussian Medical Academy of Postgraduate Education
V. V. Rimashevsky
Belorussian Medical Academy of Postgraduate Education
References
- Бараш П. Клиническая анестезиология. 2004. 570 с.
- Дзядзько А. М. Повышение безопасности и эффективности анестезиологического обеспечения у больных при прогнозируемой трудной интубации трахеи: дис.. на соискание уч. ст. канд. мед. наук. Минск, 2003.
- Зильбер А.П., Шифман Е.М. Акушерство глазами анестезиолога. Петрозаводск, 1997. 397 с.
- Овечкин А. М., Гнездилов А. В., Кукушкин М. А. и др. Спинальная анестезия с точки зрения адекватности защиты организма от операционной травмы. Интернет-ресурс -Русский Анестезиологический Сервер.
- Alila W., Grinberg M., Snitcowsky R. et al. Maternal and fetal outcomes in pregnant women with Eisenmenger's syndrome // Eur. Heart J. 1995; 16: 460-464.
- Avila W. S., Rossi E. G., Ramires J. A. et al. Pregnancy in patients with heart disease: experience with 1,000 cases // Clin. Cardiol. 2003 Mar; 26 (3): 135-142.
- Cormack R. S., Lehane J. Difficult intubation in obstetrics // Anaesthesia. 1984; 39: 1105-1111.
- Gatzoulis M. A., Webb G. D., Daubeney P. E. F. Diagnosis and Management of Adult Congenital Heart Disease, 1st Edn. Edinburgh: Churchill Livingstone, 2003.
- Laird T. H., Stayer S.A., Rivenes S. M. et al. Pulmonary-to-systemic blood flow ratio effects of sevoflurane, isoflurane, halothane, and fentanyl/ midazolam with 100 % oxygen in children with congenital heart disease // Anesth. Analg. 2002; 95: 1200-1206.
- Landzberg M. L., Murphy D. J. Jr, Davidson W. R. Jr et al. Task Force 4: Organization of delivery systems for adults with congenital heart disease // J. Am. Coll. Cardiol. 2001; 37: 1187-1193.
- Lovell A. T. Anaesthetic implications of grown-up congenital heart disease // Br. J. Anaesth. 2004; 93 (1): 129-139.
- Watkins E. J., Dresner M., Calow C. E. Severe vasovagal attack during regional anaesthesia for cesarean section // Br. J. Anaesth. 2000 Jan; 84 (1): 118-120.
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