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Prevention of Arterial Hypotension with Epidural Anaesthesia During Operations on the Arteries of the Lower Limbs
- Authors: 1, 1, 1
-
Affiliations:
- Voronezh State Medical Academy named after N.N.Burdenko, Voronezh, Russian Federation
- Issue: Vol 6, No 1 (2013)
- Pages: 39-44
- Section: Original articles
- URL: https://vestnik-surgery.com/journal/article/view/27
- DOI: https://doi.org/10.18499/2070-478X-2013-6-1-39-44
- ID: 27
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Abstract
Relevance At present manuals on anaesthesia see epidural anaesthesia as a major method in surgery on the arteries of the lower limbs. However, this method can involve some risks. One of the worst complications of epidural anaesthesia is artery hypotension which can be a serious threat to patients especially with vascular problems. The authors have sought to work out some measures aimed at preventing critical incidents of haemodynamics which can lead to postoperative complications and even lethal outcome.
The purpose of the study The present study was aimed at finding the optimal methods of prevention AG heavy degree in EA at patients of the Department of vascular surgery, оперируемых on the arteries of the lower extremities, evaluation of their efficiency, safety and impact on the operational анестезиологический stress, preparation of recommendations for practical medicine.
Materials and methods The experiment involved 102 patients from vascular surgery department divided into control and main groups to bring out the effect of Gutron® (Nycomed Austria GmbH) in the main group patients whose preparation for surgery included the use of the medicament.
Results and their discussion As the findings show, Gutron® proved itself quite safe and effective in preventing severe hypotension. The paper also shows how the use of Gutron® can be effective in reducing risks of operational stress. There is also evidence that intraoperational medicament and infusion pressure tends to be reduced as a result of stabilized haemodynamics.
Сonclusion The authors provide some practical recommendations for anaesthesiologists on the use of artery hypotension prevention programs. The authors are not interested in commercial or any other benefits from pharmaceutical firms.
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About the authors
Voronezh State Medical Academy named after N.N.Burdenko, Voronezh, Russian Federation
Author for correspondence.
Email: kib_kib@km.ru
anaesthesiologist, voronezh regional Hospital №1; lecturer at anaesthesiology and resuscitation Chair, Institute of Supplementary professional education, voronezh N.N. Burdenko State Medical academy
Voronezh State Medical Academy named after N.N.Burdenko, Voronezh, Russian Federation
Email: author@vestnik-surgery.com
Md, prof., anaesthesiology and resuscitation Chair Head, Institute of Supplementary professional education, voronezh N.N. Burdenko State Medical academy
Voronezh State Medical Academy named after N.N.Burdenko, Voronezh, Russian Federation
Email: author@vestnik-surgery.com
Md, associate professor Chair of General Surgery of the voronezh State Medical academy named after N.N. Burdenko
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