Analysis of Anaesthetic and Reanimation Aid Rendered to Patients with Reproductive System Tumours who Died from Pulmonary Artery Thromboembolism

Abstract

Research goal: to identify defects of rendering anaesthetic and reanimation aid, resulting in the development of tromboembolism of pulmonary artery (ТЕРА) and subsequent death of patients with tumours of reproductive system. The development of thromboembolic complications in the post-operative period of gynaecological patients is the result of medical aid defects at all the stages of the post-operative period. The identified defects call for the revision of significance of various factors of ТЕРА risk. Prophylaxis of thromboembolic complications has demonstrated the ungrounded concentration in plasma and thrombocyte part of haemostas without due attention to significance of vascular wall condition. The dose calculation of injected anti-coagulators based on a patient’s weight only neglecting such factors as original haemostas condition, activated partial thrombin time (APTT) control or finding out endogenous heparin titre can not be considered rational.

Keywords

• anaesthetic and reanimation aid
• tromboembolism of the pulmonary artery
• tumours of reproductive system