Evaluation of central (neuraxial) blocks effectiveness in patients with obesity and reducing of coronary flow reserve at abdominal delivery

A. A Semenihin; Mansur Muratovich Matlubov; O. V Kim

doi:10.17816/RA42826

Regional Anesthesia and Acute Pain Management ›› 2016, Vol. 10 ›› Issue (3) : 179 -183. DOI: 10.17816/RA42826

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Evaluation of central (neuraxial) blocks effectiveness in patients with obesity and reducing of coronary flow reserve at abdominal delivery

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Abstract

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.

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spinal anesthesia / variants of epidural anesthesia / abdominal delivery / obesity / coronary reserves

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A. A Semenihin, Mansur Muratovich Matlubov, O. V Kim. Evaluation of central (neuraxial) blocks effectiveness in patients with obesity and reducing of coronary flow reserve at abdominal delivery. Regional Anesthesia and Acute Pain Management, 2016, 10(3): 179-183 DOI:10.17816/RA42826

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