Increasing the effciency of spinal anesthesia in a cesarean section in pregnant women with diabetes mellitus

Author:

Rymasheuski U. V.1ORCID,Kanus I. I.1ORCID,Aletski V. E.1ORCID

Affiliation:

1. Belarusian Medical Academy of Postgraduate Education

Abstract

Objective. To increase the effciency of spinal anesthesia (SA) in operative delivery of pregnant women with type 1 diabetes mellitus (DM).Materials and methods. A dynamic assessment of the clinical effciency of spinal anesthesia in cesarean sections was performed in 123 pregnant women with DM. The level of the sensor and motor block was determined depending on the dose of a 0.5% hyperbaric solution of bupivacaine calculated according to the original method.Results. The SA method in cesarean sections in pregnant women with diabetes mellitus has been proposed taking into account the dosage of a hyperbaric solution of bupivacaine depending on the patient`s height and gestational age. The application of this method provided the development of the necessary degree of the sensory and motor block by the eight minute and created the requisite conditions for a cesarean section.Conclusion. The proposed method of the calculation of the hyperbaric solution dosage for subarachnoid anesthesia taking into account the patients` height and gestational age makes it possible to ensure the necessary degree of the sensor block at the level of 4-5 thoracic segments and suffcient relaxation in the surgical area during a cesarean section.

Publisher

Gomel State Medical University

Reference13 articles.

1. Arbatskaya NY. Gestational diabetes. News of Domestic Ppharmacy. 2021(1): 25-26. (In Russ.).

2. Bagomedow RG, Omarowa HM. Various types of anesthesia for cesarean section (literature review). Journal of New Medical Technologies. 2015;22(1):87-93. (In Russ.).

3. WHO. Global report on diabetes. Geneva: WHO; 2018. [Electronic resource]. [date of access 2021 May 17]. Available from: http://www.mif-ua.com/archive/article/5975

4. Dedov II, Shestakova MV. Personalized therapy for diabetes mellitus: the path from disease to the patient. Terapevticheskii arkhiv. 2014;86(10):4-9. (In Russ.)

5. Dedov II, Shestakova MV, Maksimova MA. Federal target program “Diabetes mellitus” [Electronic resource]: method. recommendations. M.: Media Sphere; 2002. [date of access 2021 May 17]. Available from: http://www.voed.ru/fcp_sd.htm (In Russ.).

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3