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[Optimization of anesthetic service during abdominal delivery of pregnant women with gestosis].
Anesteziol Reanimatol. 2007 Nov-DecAR

Abstract

Differential preoperative preparation of pregnant women with gestosis, by using calcium antagonists is an effective preventive measure against a circulatory hyperdynamic response to transportation to the operating suite. In pregnant women who had all hemodynamic types at baseline, the eukinetic type achieved during the preparation is retained. The patients with gestosis who did not receive calcium antagonists were found to have a circulatory hyperdynamic response with increased myocardial oxygen uptake (during surgery in particular). The use of calcium antagonists, ketonal, tranexamic acid, and hydroxyethyl starch-130/04 solution in the anesthetic appliance promoted the preservation of eukinetic hemodynamics in all those operated on, without increasing myocardial oxygen demands. The better reaction of the circulatory system and myocardial oxygen demands to surgical injury (the second mediatory wave of the systemic inflammatory response syndrome) correlated with higher neonatal Apgar scores in this category of puerperas with gestosis.

Authors

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Pub Type(s)

Clinical Trial
English Abstract
Journal Article

Language

rus

PubMed ID

18326252

Citation

Tiukov, V L., et al. "[Optimization of Anesthetic Service During Abdominal Delivery of Pregnant Women With Gestosis]." Anesteziologiia I Reanimatologiia, 2007, pp. 25-9.
Tiukov VL, Pyregov AV, Shepetovskaia NL, et al. [Optimization of anesthetic service during abdominal delivery of pregnant women with gestosis]. Anesteziol Reanimatol. 2007.
Tiukov, V. L., Pyregov, A. V., Shepetovskaia, N. L., Pivovarova, G. M., & Gur'ianov, V. A. (2007). [Optimization of anesthetic service during abdominal delivery of pregnant women with gestosis]. Anesteziologiia I Reanimatologiia, (6), 25-9.
Tiukov VL, et al. [Optimization of Anesthetic Service During Abdominal Delivery of Pregnant Women With Gestosis]. Anesteziol Reanimatol. 2007 Nov-Dec;(6)25-9. PubMed PMID: 18326252.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Optimization of anesthetic service during abdominal delivery of pregnant women with gestosis]. AU - Tiukov,V L, AU - Pyregov,A V, AU - Shepetovskaia,N L, AU - Pivovarova,G M, AU - Gur'ianov,V A, PY - 2008/3/11/pubmed PY - 2008/4/2/medline PY - 2008/3/11/entrez SP - 25 EP - 9 JF - Anesteziologiia i reanimatologiia JO - Anesteziol Reanimatol IS - 6 N2 - Differential preoperative preparation of pregnant women with gestosis, by using calcium antagonists is an effective preventive measure against a circulatory hyperdynamic response to transportation to the operating suite. In pregnant women who had all hemodynamic types at baseline, the eukinetic type achieved during the preparation is retained. The patients with gestosis who did not receive calcium antagonists were found to have a circulatory hyperdynamic response with increased myocardial oxygen uptake (during surgery in particular). The use of calcium antagonists, ketonal, tranexamic acid, and hydroxyethyl starch-130/04 solution in the anesthetic appliance promoted the preservation of eukinetic hemodynamics in all those operated on, without increasing myocardial oxygen demands. The better reaction of the circulatory system and myocardial oxygen demands to surgical injury (the second mediatory wave of the systemic inflammatory response syndrome) correlated with higher neonatal Apgar scores in this category of puerperas with gestosis. SN - 0201-7563 UR - https://www.unboundmedicine.com/medline/citation/18326252/[Optimization_of_anesthetic_service_during_abdominal_delivery_of_pregnant_women_with_gestosis]_ L2 - https://medlineplus.gov/cesareansection.html DB - PRIME DP - Unbound Medicine ER -