Coloides versus cristaloides em fluidoterapia guiada por objetivos, revisão sistemática e metanálise. Demasiadamente cedo ou demasiadamente tarde para obter conclusões

Ripollés, Javier; Espinosa, Á.; Casans, Rubén; Tirado, Ana; Abad, Alfredo; Fernández, Cristina; Calvo, J.

doi:10.1016/j.bjan.2014.07.003

Cited by 15 publications

(1 citation statement)

References 50 publications

(57 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Известны данные мета-анализа, свидетельствующие о том, что введение коллоидных растворов, как в качестве прединфузии, так и в виде «соинфузии» существенно снижает частоту развития гипотензии, в сравнении с аналогичным использованием растворов кристаллоидов [38]. И в этой работе не было выявлено преимуществ прединфузии коллоидов в сравнении с их введением на фоне уже развившегося спинального блока.…”

Section: инфузионная терапияunclassified

Spinal Anesthesia and Hypotension: Mechanisms, Risk Factors, Prophylaxis and Correction

Ovechkin¹,

Sokologorskiy²,

Политов³

et al. 2021

Novosti Khirurgii

View full text Add to dashboard Cite

Hypotension is the most common adverse effect of spinal anesthesia (SA). The insidence of SA-induced hypotension in the total population is 15-33%, in patients of older age groups it reaches 80%. At young and middle ages, the main determinant of SA-induced hypotension is considered to be a reduction of postload and venous reflux, due to blood deposition in capacitance vessels of the lower extremities. The aortocaval compressionsyndromeplays a significant role in obstetric practice, cardiac output does not change. In elderly patients, the main prerequisite for the development of hypotension is an enhanced basal sympathetic toneon the background of SA. In patients of this category, in addition to reducing the total peripheral vascular resistance (TPVR), a decline in cardiac output also plays a role. Risk factors for anesthesia-induced hypotension are the followings: (chronic alcohol consumption, history of hypertension, sensory block upper than Th6, and urgency of surgery). To prevent SA-induced hypotension it is advisable to reduce the doses of local anesthetics. Data from the most studies do not confirm the effectiveness of extended infusion therapy in the prevention and correction of hypotension. Vasopressors - phenylephrine in obstetric practice, ephedrine or dopamine in elderly patients are effectiveforpreventinghypotension.

show abstract

Section: инфузионная терапияunclassified