Influence of Intra-Abdominal Pressure and Wound Infection in the Post-Operative Period in Women With Obesity

Marshalov, D.V.; Shifman, E.М.; Salov, I. A.; Petrenko, Aleksei

doi:10.24060/2076-3093-2017-7-2-40-48

Cited by 1 publication

(5 citation statements)

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“…Кесарево сечение выполняли в условиях спинальной анестезии (САн) в положении пациентки на боку на уровне L II -L IV , интратекально вводили 0,5 % раствор Лонгокаин хеви (0,5 % гипербарический бупивакаин) производства "Юрия-Фарм", доза анестетика рассчитывалась в соответствии с предложенной дозировкой [2]. Оперативное вмешательство начинали через 4-5 мин после интратекального введения местного анестетика.…”

Section: материалы и методыunclassified

“…Kim Yong Din 1 , Mikirtichev K. D. 1 , Matkurbanov O. K. 2 , Allamov E. 2 , Kim V. Ya. 3 , Sartabaev B. K. 4 , Mukhtarov K. M. 5 , Agababyan L. R. 6 , Sakhhibbaev M. M. 7 , Khusainov R. I.…”

Section: результати мультицентрового дослідженняmentioning

confidence: 99%

“…Kim Yong Din 1 , Mikirtichev K. D. 1 , Matkurbanov O. K. 2 , Allamov E. 2 , Kim V. Ya. 3 , Sartabaev B. K. 4 , Mukhtarov K. M. 5 , Agababyan L. R. 6 , Sakhhibbaev M. M. 7 , Khusainov R. I. 8 RSSPMCOG and Ministry of Health of the Republic of Uzbekistan, Tashkent 1 , Khorezm Regional Perinatal Center 2 , Nukus branch of RSCEM 3 , Khalmuratov Nukus Republic multi-profile medical center 4 , Bukhara Perinatal Center 5 ,Samarkand Maternity Hospital No.…”

Section: результати мультицентрового дослідженняmentioning

confidence: 99%

“…3 , Sartabaev B. K. 4 , Mukhtarov K. M. 5 , Agababyan L. R. 6 , Sakhhibbaev M. M. 7 , Khusainov R. I. 8 RSSPMCOG and Ministry of Health of the Republic of Uzbekistan, Tashkent 1 , Khorezm Regional Perinatal Center 2 , Nukus branch of RSCEM 3 , Khalmuratov Nukus Republic multi-profile medical center 4 , Bukhara Perinatal Center 5 ,Samarkand Maternity Hospital No. 2 6 , Namangan branch of RSSPMCOG 7 , Urgench City Medical Association 8 , Uzbekistan Abstact.…”

Section: результати мультицентрового дослідженняmentioning

confidence: 99%

“…В настоящее время нейроаксиальная анестезия (НАн) стала широко распространенным методом анестезиологического пособия при проведении операции кесарева сечения у пациенток с различной акушерской и экстрагенитальной патологией [1,2,3,6]. Применение современных медицинских технологий и достижений в области разработки фармацевтических препаратов позволило значительно снизить осложнения и побочные эффекты, связанные с использованием НАн.…”

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Comparative evaluation of pre-infusion at caesar section performed under spinal anesthesia. Results of multicenter trial

Din

Mikirtichev

Matkurbanov³

et al. 2020

PMJUA

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Abstact. Study of the effect of preinfusion, various infusion solutions on the state of hemodynamics, in patients undergoing a cesarean section performed under spinal anesthesia with 0.5 % solution of Longocain Heavy (0.5 % hyperbaric bupivacaine).Materials and methods. Spinal anesthesia (SAN) was performed in 2 190 women, aged 21 to 39 years, with a gestational age of 39 to 40 weeks. The structure of extragenital pathology was dominated by chronic anemia of varying severity – 1 650 (75.3 %), urinary tract infections – 756 (34.5 %), mild preeclampsia – 245 (11.2 %), chronic nonspecific lung diseases – 125 (5.7 %). 1 786 (81.5 %) patients underwent surgery in a planned manner, according to emergency indications – 404 (18.4 %). A combination of the two pathologies was observed in 852 (38.9 %) women. Indications for surgery were: disease of the operated uterus, insolvency of the scar on the uterus, clinically narrow pelvis, high-grade myopia, secondary labor weakness. The duration of surgery is ranged from 40 to 52 minutes.Results. In group I, the expressed hypotension, requiring sympathomimetic support with mezaton was observed in 192 (34.8 %) patients. In group II, severe hypotension requiring sympathomimetic support with mezaton was observed in 114 (20.8 %) patients. And in group III, hypotension requiring sympathomimetic support with mezaton was observed in 127 (23.2 %) patients. At that time, in patients of group IV severe hypotension, requiring sympathomimetic support with mezaton was observed in only 91 (18 %) cases.Conclusions. Neuraxial anesthesia is accompanied by the development of hypotension, which can be prevented by preinfusion with crystalloid solutions. Aggressive preinfusion of large volumes of isoosmolar crystalloids at a dose of 10–14 ml/kg was associated with an increase in the frequency of hemodynamic instability requiring sympathomimetic support.

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Section: материалы и методыunclassified