CENTRAL HEMODYNAMICS AND PARASYMPATHETIC TONE IN PARTURIENTS UNDERGOING CESAREAN SECTION UNDER SPINAL ANESTHESIA

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2017-06-08

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Андрей Мирославович Батюк
Kemerovo State Clinical Hospital of Emergency Medical Care after M.A. Podgorbunsky
Георгий Павлович Плотников
Scientific research institute for complex issues of cardiovascular diseases SB RAMS, Kemerovo
Станислав Валерьевич Пугачев
Kemerovo State Clinical Hospital of Emergency Medical Care after M.A. Podgorbunsky
Наталья Евгеньевна Коченкова
Kemerovo State Clinical Hospital of Emergency Medical Care after M.A. Podgorbunsky
Ольга Вадимовна Веселкова
Kemerovo State Clinical Hospital of Emergency Medical Care after M.A. Podgorbunsky
Оксана Николаевна Новикова
Kemerovo State Medical University
Евгений Валерьевич Григорьев
Kemerovo State Medical University

Abstract

Objective – to optimize therapy and prevention of arterial hypotension caused by spinal anesthesia during Cesarean section.

Methods. Pregnant women undergoing Caesarean section under spinal anesthesia were divided into two groups depending on the predominance of sympathetic or parasympathetic tone. A comparison of central haemodynamic parameters on the basis of non-invasive monitoring were perfomed.

Results. Low cardiac output, arterial hypotension, bradycardia, consumption of vasopressors and cholinolitics were significantly more often observed in the group of patients with a predominance of parasympathetic tone.

Conclusion. Considering the preoperative measurement of autonomic nervous system tone, pathogenetic approach to the treatment and prevention of arterial hypotension during Caesarean section with administration of atropine could be assumed instead of recommended routine application of adrenoagonists.

Keywords

cesarean section, spinal anesthesia, central haemodynamics, autonomic nervous system, heart rate variability

Author Biographies

Андрей Мирославович Батюк,
candidate of medical sciences, head of department of anaesthesiology and reanimation, Maternity Hospital N 1
Георгий Павлович Плотников,
doctor of medical sciences, leading researcher, laboratory of critical states
Станислав Валерьевич Пугачев,
candidate of medical sciences, anesthesiologist-resuscitator, anesthesiology-resuscitation department, Maternity Hospital N 1
Наталья Евгеньевна Коченкова,
anesthesiologist-resuscitator, department of anaesthesiology and reanimation, Maternity Hospital N 1
Ольга Вадимовна Веселкова,
obstetrician-gynecologist, Maternity Hospital N 1
Оксана Николаевна Новикова,
the doctor of medical sciences, professor, department of obstetrics and gynecology N 1
Евгений Валерьевич Григорьев,
doctor of medical sciences, professor, head of department of anesthesiology and reanimatology

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
© Андрей Мирославович Батюк, Георгий Павлович Плотников, Станислав Валерьевич Пугачев, Наталья Евгеньевна Коченкова, Ольга Вадимовна Веселкова, Оксана Николаевна Новикова, Евгений Валерьевич Григорьев, 2017


Creative Commons License  This work is licensed under a Creative Commons Attribution 4.0 License.

How to Cite

Батюк, А. М., Плотников, Г. П., Пугачев, С. В., Коченкова, Н. Е., Веселкова, О. В., Новикова, О. Н., & Григорьев, Е. В. (2017). CENTRAL HEMODYNAMICS AND PARASYMPATHETIC TONE IN PARTURIENTS UNDERGOING CESAREAN SECTION UNDER SPINAL ANESTHESIA. Medicine in Kuzbass, 16(2), 27-31. https://www.mednauki.ru/index.php/MK/article/view/87

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