UTEROPLACENTAL AND FETAL HAEMODYNAMICS DURING EXTRADURAL ANAESTHESIA FOR CAESAREAN SECTION |
| |
| Authors: | ALAHUHTA S; RASANEN J; JOUPPILA R; JOUPPILA P; KANGAS-SAARELA T; HOLLMEN A I |
| |
| Institution: | Department of Anaesthesiology, University of Oulu SF-90220 Oulu, Finland
Department of Obstetrics and Gynaecology, University of Oulu SF-90220 Oulu, Finland |
| |
| Abstract: | We have studied the effects of extradural anaesthesia with bupivacaine(plain) in eight healthy parturients undergoing elective Caesareansection, on blood flow in maternal uterine and placental arcuatearteries and in fetal umbilical, renal and middle cerebral arteries,using a colour Doppler technique. Simultaneously, fetal myocardialfunction was investigated by M-mode echocardiography. Maternaland fetal blood velocity waveform indices did not change significantly.We found no changes in fetal myocardial function with extraduralanaesthesia, except for an increase in the right ventricularinner end-diastolic dimensions. These results suggest that extraduralanaesthesia has no detrimental effects on uteroplacental andfetal circulations in the uncomplicated pregnancy when maternalhypotension is avoided with rapid prehydration. |
| |
| Keywords: | |
| 本文献已被 Oxford 等数据库收录！ |
|
