tailieunhanh - So sánh hiệu quả dự phòng tụt huyết áp của noradrenalin với ephedrin truyền tĩnh mạch sau gây tê tủy sống mổ lấy thai

Bài viết trình bày so sánh hiệu quả dự phòng tụt huyết áp của noradrenalin với ephedrin truyền tĩnh mạch sau tê tủy sống mổ lấy thai. Hiệu quả dự phòng tụt HA của truyền noradrenaline tốt hơn, nhịp tim ổn đinh hơn, cần dùng liều bolus, dịch truyền ít hơn truyền ephedrin. | Vietnam Journal of Community Medicine Vol. 64 Special Issue 11 267-272 COMPARISION THE EFFECTIVENESS OF THE HYPOTENSION PREVENTION AND TREATMENT AFTER SPINAL ANESTHESIA FOR CESAREAN SECTION BY NORADRENALIN WITH EPHEDRIN CONTINUOUS INTRAVENOUS INFUSION Tran Minh Long Tang Xuan Hải Bui Huu Hung Nghe An Obstetrics and Pediatrics Hospital - No. 19 Ton That Tung Hung Dung Ward Vinh City Nghe An Vietnam Received 14 09 2023 Revised 30 09 2023 Accepted 02 11 2023 ABSTRACT Objectives To compare the effectiveness of the hypotension prevention and treatment after spinal anesthesia for cesarean section by noradrenalin with ephedrin continuous intravenous infusion. Methods Comparative randomized clinical description. With 120 patients who received spinal anesthesia for cesarean section were randomly assigned to 2 equal groups. Procedure Both groups received crystalloid infusion before spinal anesthesia with a dose of 10 ml kg. Spinal anesthesia at the L3-4 vertebral interspace. Bupivacaine dose according to height mg- mg . Group I Received a noradrenaline continuous infusion at a dose of mcg kg min after spinal anesthesia and received bolus 5 mcg time every hypotension time. In group II Received a ephedrin continuous infusion at a dose of mg kg min and both groups had treated for hypotension at 1 ml 5 mcg ml noradrenalin or 5 mg ml ephedrin 1 min apart until blood pressure returned to normal. We had finished the oxytoxin infusion when we stopped the continuous infusion. Evaluation Heart rates the changes of blood pressure noradrenaline doses fluid parameters ephedrine doses. Results Blood pressure of group I was more stable than that of group II. The number of bolus patients in group I 20 was less than group II . Group I heart rate was lower than group II The number of tachycardia episodes in group I was lower than in group II. The total dose of noradrenaline in group I was 8 mcg and in group II 9 mg. The amount of fluid after spinal .

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