title: [Anesthetic service and the postoperative period in pregnant women with gestosis].
abstract: The paper analyzes the results of using in the anesthetic maintenance of pregnant females with gestosis the algorithm of preventing possible impairments in the development of the general adaptation syndrome in response to pregnancy and surgical labor. Calcium antagonists (eliminating dysfunction of secondary calcium messenger), ketonal, and tranexamic acid (which inhibiting a number of pain and inflammation mediators), and hydroxyethyl starch-130/04 solution (regenerating the endothelium) were administered to prevent the clinical manifestations of the intraabdominal compartment syndrome, ischemia-pefusion, and the second wave of the systemic inflammatory response syndrome in response to surgery. The differential use of the above agents at all stages of anesthetic maintenance in pregnant women with gestosis promoted the postoperative preservation of the most efficient eukinetic hemodynamics and physiological sympathicotonia and the elimination of water metabolic disturbances more early than in the control puerperas. A more physiological postoperative course in the study group puerperas called for much less pharmacotherapy, which created more favorable conditions for postoperative maternal-neonatal contact (feeding, etc.).
authors.forename: N L
authors.initials: NL
authors.lastname: Shepetovskaia
authors.forename: G M
authors.initials: GM
authors.lastname: Pivovarova
authors.forename: A V
authors.initials: AV
authors.lastname: Volodin
authors.forename: G N
authors.initials: GN
authors.lastname: Tolmachev
mesh_terms: D000773:Anesthesia, Obstetrical / Q000379:methods*; D002121:Calcium Channel Blockers / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D002585:Cesarean Section; D005260:Female; D005790:General Adaptation Syndrome / Q000209:etiology / Q000517:prevention & control; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D007660:Ketoprofen / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D011184:Postoperative Period; D011225:Pre-Eclampsia / Q000503:physiopathology; D011247:Pregnancy; D014148:Tranexamic Acid / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use
chemical_list: D002121:Calcium Channel Blockers; D006895:Hydroxyethyl Starch Derivatives; D014148:Tranexamic Acid; D007660:Ketoprofen