UTEROPLACENTAL AND FETAL HEMODYNAMICS DURING EXTRADURAL ANESTHESIA FOR CESAREAN-SECTION

被引：21

作者：

ALAHUHTA, S ^{[1
]}

RASANEN, J ^{[1
]}

JOUPPILA, R ^{[1
]}

JOUPPILA, P ^{[1
]}

KANGASSAARELA, T ^{[1
]}

HOLLMEN, AI ^{[1
]}

机构：

[1] UNIV OULU,DEPT OBSTET & GYNAECOL,SF-90220 OULU,FINLAND

来源：

BRITISH JOURNAL OF ANAESTHESIA | 1991年 / 66卷 / 03期

关键词：

ANESTHESIA; OBSTETRIC; ANESTHETIC TECHNIQUES; EXTRADURAL; MEASUREMENT TECHNIQUES; DOPPLER ULTRASONICS; ECHOCARDIOGRAPHY; PLACENTA; BLOOD FLOW VELOCITY; UTERUS; BLOOD FLOW;

D O I：

10.1093/bja/66.3.319

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We have studied the effects of extradural anaesthesia with bupivacaine (plain) in eight healthy parturients undergoing elective Caesarean section, on blood flow in maternal uterine and placental arcuate arteries and in fetal umbilical, renal and middle cerebral arteries, using a colour Doppler technique. Simultaneously, fetal myocardial function was investigated by M-mode echocardiography. Maternal and fetal blood velocity waveform indices did not change significantly. We found no changes in fetal myocardial function with extradural anaesthesia, except for an increase in the right ventricular inner end-diastolic dimensions. These results suggest that extradural anaesthesia has no detrimental effects on uteroplacental and fetal circulations in the uncomplicated pregnancy when maternal hypotension is avoided with rapid prehydration.

引用

页码：319 / 323

页数：5

共 13 条

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