Медицинский вестник Юга России (Sep 2016)

ANALYSIS OF OPTIONS FOR THE INDUCTION OF ANESTHESIA FOR CAESAREAN SECTION

  • A. N. Biryukov,
  • A. V. Schegolev,
  • E. N. Ershov,
  • A. V. Panteleev,
  • A. A. Andreenko

DOI
https://doi.org/10.21886/2219-8075-2016-3-22-26
Journal volume & issue
Vol. 0, no. 3
pp. 22 – 26

Abstract

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Purpose: to compare the depth of anesthesia and hemodynamic reactions during general anesthesia for caesarean section.Materials and Methods: 45 pregnant women scheduled for caesarean section under general anesthesia were enrolled. All patients were divided into 3 groups (15 patients in each), depending on the general anesthetics. In the 1st group used sodium thiopental 5 mg / kg, in the 2nd sodium thiopental 5 mg / kg with sevoflurane (0.5 MAC), 3rd propofol 2.5 mg / kg. Mean arterial pressure (MAP) and index of AAI were estimated at six basic stages of the operation.Results: the highest rates of mean arterial pressure and AAI index were observed in the first group.Summary: the use of a mixture of thiopental sodium dose of 5 mg/kg with sevoflurane (0.5 MAC) or propofol dose of 2.5 mg / kg provide a sufficient surgical level of depth of anesthesia in the main stages of the operation; allow minimize hypertensive response for intubation and surgical trauma in comparison with the thiopental sodium dose of 5 mg/kg.

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