INDICATORS OF GENERAL HEMODYNAMICS AND OCCUPANCY TRAUMATISM UNDER PREMATURE LABOR CONDITIONS WITH DIFFERENT VARIANTS OF ANESTHESIOLOGICAL SUPPORT
Abstract
On the basis of a random sample, 150 women in labor with spontaneous premature birth were selected into
three clinical groups, comparable according to the ASA, the Fisher scale, and a number of anthropometric
parameters. In the main group (n = 69), single-stage sacral anesthesia with 0.2% bupivacaine solution was used,
in the 1st comparison group (n = 49), prolonged epidural anesthesia with 0.125% bupivacaine solution was
performed, and in the 2nd group (n = 32), labor was compared with using pudendal anesthesia and subcutaneous
injection of 2% promedol. In these groups, the parameters of systemic hemodynamics, birth traumatism and the
number of operative births were analyzed. It was found that the proposed variant of sacral anesthesia, while
providing adequate nociceptive protection, does not cause clinically significant depression of the parameters of
systemic hemodynamics; at the same time, birth traumatism and the number of operative deliveries are reduced.
References
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3. Fomichev V.A., Korolev V.V., Shcherbakov I.V. Experience of using epidural anesthesia in a general hospital // Anesthesiology and resuscitation. -
1990, No. 5. - P 74-77
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