Open AccessEvaluation of central (neuraxial) blocks effectiveness in patients with obesity and reducing of coronary flow reserve at abdominal delivery
Author(s) -
A. A. Semenihin,
М. М. Матлубов,
O. V Kim
Publication year - 2016
Publication title -
regionarnaâ anesteziâ i lečenie ostroj boli
Language(s) - English
Resource type - Journals
eISSN - 2687-1394
pISSN - 1993-6508
DOI - 10.18821/19936508-2016-10-3-179-183
Subject(s) - medicine , anesthesia , anesthetic , hemodynamics , surgery
The study was conducted to determine the most efficient and safe option of regional anesthesia applied abdominal delivery in obese patients (BMI - 35-39,9 kg/m2) and reduced coronary flow reserve. The study included 63 women. Depending on the anesthesia all the patients were divided into 3 groups. 1st group consisted of 21 women operated under spinal anesthesia, 2nd similar number of patients operated on epidural anesthesia, 3rd - 21 women operated on a balanced epidural anesthesia reduce the concentration of the local anesthetic combined with fentanylum and preventive analgesia. At the same time on the stages of anesthesia and surgery was studied central and peripheral hemodynamics, functional state of the sympathetic-adrenal and hypothalamic-pituitary system. It was found that the most efficient and safe way of pain relief in patients with obesity and reduced coronary flow reserve is reduced concentrations of epidural bupivacaine hydrochloride combined with fentanylum and preventive analgesia.