RESUMO
The drug salvage developed by the authors was studied for its impact on maternal, fetal, neonatal homeostasis, the incidence of unfavourable outcomes in the mother and her fetus in 40 pregnant with cardiac malformations whose pregnancy was delivered via cesarean section as a planned operation. The baseline hypodynamic circulation was detected in pregnant with heart disease. This was found to be steady-state during the operation and the drug salvage was adequate in the females. This showed a 2.7- or 2.0-fold reduction in maternal cardiovascular events and unfavourable neonatal sequelae, respectively.
Assuntos
Anestesia Intravenosa/métodos , Anestesia Obstétrica/métodos , Cesárea , Insuficiência da Valva Mitral/cirurgia , Estenose da Valva Mitral/cirurgia , Medicação Pré-Anestésica/métodos , Complicações Cardiovasculares na Gravidez/cirurgia , Feminino , Monitorização Fetal , Humanos , Cuidados Intraoperatórios , Insuficiência da Valva Mitral/fisiopatologia , Estenose da Valva Mitral/fisiopatologia , Gravidez , Complicações Cardiovasculares na Gravidez/fisiopatologiaRESUMO
Central hemodynamics at different stages of anesthesia, changes in hexenal concentration in the mother's body, adequacy of anesthesia and hexenal effect on the condition of the fetus and newborn have been studied in 40 pregnant women without any accompanying extragenital pathology subject to planned cesarean section performed under combined general anesthesia. Normodynamic type of circulation has been established. The analysis of blood catecholamine changes confirmed the adequacy of the anesthesia. The studies of hexenal concentration have demonstrated the absence of negative effect on the newborn delivered by cesarean section.
Assuntos
Anestesia Geral , Anestesia Obstétrica , Cesárea/métodos , Hexobarbital , Adulto , Feminino , Hemodinâmica/fisiologia , Humanos , GravidezRESUMO
Central and peripheral hemodynamics, organic (cerebral) blood flow, hemostasis system, clinical and biochemical values were comprehensively studied in 112 pregnant females with various severity of late gestoses (LG). As a result, there were developed diagnostic criteria both for the levels of severity and for its grave complication--the syndrome of disseminated intravascular blood coagulation. In 61 females the developed methods of efficient intensive care permitted to continue pregnancy up to spontaneous delivery.