EFFECTIVENESS OF NEUROAXIAL BLOCKADES DURING ABDOMINAL DELIVERY IN PREGNANT WOMEN WITH СOMMUNITY-ACQUIRED PNEUMONIA AND MILD RESPIRATORY FAILURE
Journal Title: International scientific journal Science and Innovation - Year 2023, Vol 2, Issue 12
Abstract
This study evaluated anesthetic tactics for delivery in women with concomitant community-acquired pneumonia. Pregnancy contributes to the susceptibility to respiratory viral infections. During the new coronavirus pandemic, the incidence in pregnant women was higher than that in the general population. The progression of acute respiratory failure (ARF) is accompanied by a violation of ventilation-perfusion relations and preservation of blood flow in the unventilated parts of the lungs against the background of compression of the diaphragm by the pregnant uterus. The objective of this prospective study was to examine 86 pregnant women with community-acquired pneumonia and I degree ARF at the age of 21–45 years, with a gestational age of 32-41 weeks. The choice of anesthesia management method during operative delivery was based on the severity of pneumonia and the degree of respiratory failure. Depending on the above mentioned, the 1st group included patients (34) who underwent epidural anesthesia (EA) with NIАV with positive PEEP FiO2-60-100%; the 2nd subgroup (28) - EA with NIАV on the same parameters and the 3rd group (24) included Balanced EA with NIАV with similar parameters. The tested variants of neuraxial blockade (NB) had no depressive effects on external respiration or gas exchange. The use of reduced bupivacaine concentrations was not accompanied by pronounced motor blockade.
Authors and Affiliations
Akramov Bakhodir Rakhmonovich, Matlubov Mansur Muratovich, Nematulloev Tukhtasin Komiljonovich, Shopulotova Zarina Abdumuminovna
Keywords
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- EP ID EP726351
- DOI 10.5281/zenodo.10395526
- Views 55
- Downloads 0
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