Does Methergine Aggravate Chest Symptom and/or Electrocardiographic Changes during Cesarean Delivery under Spinal Anesthesia? / 대한마취과학회지
Korean Journal of Anesthesiology
;
: S15-S20, 2005.
Artigo
em Inglês
| WPRIM
| ID: wpr-15798
ABSTRACT
BACKGROUND:
Complaints of chest symptoms including pressure, tightness, or pain frequently occur during cesarean delivery under regional anesthesia. The aim of this study was to test whether methergine (methylergonovine maleate) aggravates chest symptoms and/or ECG changes during cesarean section under spinal anesthesia, and to determine if these changes are associated with any discernable intraoperative event.METHODS:
After delivery, patients were given intravenous methergine 0.2 mg and diluted oxytocin 10 i.u. in 1000 ml Ringer's lactate solution (Methergine group, n = 30) or diluted oxytocin 20 i.u. (Control group, n = 29). ECG and hemodynamic responses were monitored continuously on 12 leads perioperatively.RESULTS:
Methergine significantly increased the incidence of chest symptoms compared to the control group (30% vs. 3.4%, P 0.05).CONCLUSIONS:
Methergine-induced chest symptoms per se do not signify evident myocardial ischemia during cesarean delivery. However, anesthesiologists must not overlook the possibility of a small coronary arteriolar spasm, especially in high-risk patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Espasmo
/
Tórax
/
Ocitocina
/
Cesárea
/
Incidência
/
Isquemia Miocárdica
/
Ácido Láctico
/
Eletrocardiografia
/
Hemodinâmica
/
Anestesia por Condução
Tipo de estudo:
Estudo diagnóstico
/
Estudo de incidência
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2005
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS