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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,122 - 1,127 (6page)
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초록· 키워드
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Purpose: We aimed to determine whether head elevation during combined spinal-epidural anesthesia (CSE) and Caesarean section provided improved hemodynamicsand appropriate sensory block height. Materials and Methods: Forty-four parouswomen undergoing CSE for elective Caesarean section were randomly assigned to one of two groups: right lateral (group L) or right lateral and head elevated(group HE) position, for insertion of the block. Patients were positioned in the supine wedged position (group L) or the left lateral and head elevated position (group HE) until a block height of T5 to light touch was reached. Group HE was then turned to the supine wedged position with maintenance of head elevation until the end of surgery. Hemodynamics, including the incidence of hypotension, ephedrinedose required, and characteristics of the sensory blocks were analyzed. Results:The incidence of hypotension (16 versus 7, p=0.0035) and the required dose of ephedrine [24 (0‒40) versus 0 (0‒20), p<0.0001] were greater in group L comparedto group HE. In group L, the time to achieve maximal sensory block level (MSBL) was shorter (11.8±5.4 min versus 20.1±6.3 min, p<0.0001) and MSBL was also higher than in group HE [14 (T2) versus 12 (T4), p=0.0015]. Conclusion: Head elevation during CSE and Caesarean section is superior to positioning withouthead elevation in the lateral to supine position, as it is associated with a more gradual onset, appropriate block height, and improved hemodynamics.
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등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Carrie LE / 1984 / Subarachnoid bupivacaine 0.5% for caesarean section / Eur J Anaesthesiol 1 : 275 ~ 283
Carrie LE / 1990 / Epidural and spinal blockade in obstetrics / Bailliere-Tindall : 139 ~ 150
Craig JR / 2001 / Oxford positioning technique vs. sitting-to-wedged supine position for caesarean section under spinal anaesthesia / Int J Obstet Anesth 10 : 151 ~
Gizzo S / 2014 / Update on best available options in obstetrics anaesthesia: perinatal outcomes, side effects and maternal satisfaction. Fifteen years systematic literature
James KS / 1997 / Combined spinal-extradural anaesthesia for preterm and term caesarean section: is there a difference in local anaesthetic requirements? / Br J Anaesth 78 :
Carrie LE / 1990 / Epidural and spinal blockade in obstetrics / Bailliere-Tindall : 139 ~ 150
Craig JR / 2001 / Oxford positioning technique vs. sitting-to-wedged supine position for caesarean section under spinal anaesthesia / Int J Obstet Anesth 10 : 151 ~
Gizzo S / 2014 / Update on best available options in obstetrics anaesthesia: perinatal outcomes, side effects and maternal satisfaction. Fifteen years systematic literature
James KS / 1997 / Combined spinal-extradural anaesthesia for preterm and term caesarean section: is there a difference in local anaesthetic requirements? / Br J Anaesth 78 :
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