title: [Anaesthesia in abdominal delivery in pregnant patients with hypertension].
abstract: A differentiated administration of calcium antagonists in preoperative preparation of pregnant patients with hypertension enabled the conversion of circulatory system state to "normal pregnancy range": a conversion of hypokinetic (including the HES solution infusion) and hyperkinetic types of haemodynamics to eukinetic one, with the decrease of total peripheral resistance and myocardium need for oxygen, autonomous nervous system state to physiological sympathicotonia. Evidence shows that continued intra-operative treatment including tranexamic acid enables to maintain those results during the surgery. In postoperational period, the clinical manifestations of SIRS in patients who has received the mentioned therapy were marked less then in control group, and the newborns have a higher Apgar score.
authors.forename: G N
authors.initials: GN
authors.lastname: Tolmachev
authors.forename: A V
authors.initials: AV
authors.lastname: Volodin
authors.forename: N V
authors.initials: NV
authors.lastname: Marichik
authors.forename: V B
authors.initials: VB
authors.lastname: Nemirovskiĭ
authors.forename: G M
authors.initials: GM
authors.lastname: Pivovarova
authors.forename: N L
authors.initials: NL
authors.lastname: Shepetovskaia
authors.forename: V A
authors.initials: VA
authors.lastname: Gur'ianov
mesh_terms: D000773:Anesthesia, Obstetrical / Q000379:methods*; D001034:Apgar Score; D001341:Autonomic Nervous System / Q000187:drug effects / Q000503:physiopathology; D002121:Calcium Channel Blockers / Q000008:administration & dosage / Q000627:therapeutic use; D002585:Cesarean Section / Q000379:methods*; D004562:Electrocardiography; D004730:Endothelium, Vascular / Q000187:drug effects / Q000503:physiopathology; D005260:Female; D005865:Gestational Age; D006439:Hemodynamics / Q000187:drug effects / Q000502:physiology*; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000008:administration & dosage; D006973:Hypertension / Q000188:drug therapy / Q000503:physiopathology; D007231:Infant, Newborn; D010952:Plasma Substitutes / Q000008:administration & dosage; D011184:Postoperative Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy / Q000503:physiopathology; D011300:Preoperative Care / Q000379:methods*
chemical_list: D002121:Calcium Channel Blockers; D006895:Hydroxyethyl Starch Derivatives; D010952:Plasma Substitutes