Medical doctoral thesis summary: Study on the hemodynamic efects of phenylephrine in the management of hypotension during spinal anesthesia for cesarean section

This topic is conducted with the two following objectives: Compare the effects of phenylephrine with ephedrine on hemodynamic measured by the non-invasive method Niccomo in the management of the hypotension during SA for cesarean section; to evaluate some undesirable effects of phenylephrine and ephedrine on mother and newborn during SA for cesarean section. | Medical doctoral thesis summary Study on the hemodynamic efects of phenylephrine in the management of hypotension during spinal anesthesia for cesarean section MINISTRY OF MINISTRY OF HEALTH EDUCATION AND TRAINING HANOI MEDICAL UNIVERSITY STUDY ON THE HEMODYNAMIC EFECTS OF PHENYLEPHRINE IN THE MANAGEMENT OF HYPOTENSION DURING SPINAL ANESTHESIA FOR CESAREAN SECTION Specialized in Anesthesiology Code 62 72 01 21 MEDICAL DOCTORAL THESIS SUMMARY HA NOI - 2019 WORKS ARE COMPLETED AT HANOI MEDICAL UNIVERSITY Science instructor Professor NGUYEN Quoc Kinh The thesis will be presented in School thesis council At h00 day . month .year 2019 The thesis can be found at - National library - Library of Hanoi Medical University ABBREVIATIONS BMI Body Mask Index CO Cardiac Output CI Cardiac Index ECG Electrocardiogram GTTS Spinal anesthesia SA HA Blood pressure BP HATT Systolic arterial blood pressure SBP SAP HATTr Diastolic arterial blood pressure DBP DAP HATB Mean blood pressure MAP HR Heart Rate ICG Impedance Cardiogram NMC Epidural anesthesia Niccomo Non Invasive Continuous Cardiac Output Monitoring SpO2 Saturation of oxygenation SV Stroke Volume SVV Stroke Volume Veriation SVR Systemic Vascular Resistance 1 INTRODUCTIONS Anesthesia in obstetrics for cesarean section increased due to the increasing the rate of cesarean section which is a great concern of the anesthesiology because of the achievement of analgesic effect good muscle relaxation to maximum facilitate the operation ensuring safety for both mother and infant. Spinal anesthesia is preferred to anesthesia is the first choice for cesarean section hypotension when the Spinal anesthesia accounts for as high as 70 -80 . It is the most dangerous complication causing bad consequences for mothers and children. Therefore the problem of managing hypotension is always concerned and studied. The mechanism of hypotension in the spinal anesthesia SA is due to blockade of the sympathetic ganglion leading to dilatation of the .

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