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  • 标题:Change of Cardiac Output after Delivery during a Cesarean Section under General Anesthesia with Enflurane
  • 作者:Kim, Bong Il ; Chung, Jin Yong
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2001
  • 卷号:41
  • 期号:2
  • 页码:184-189
  • DOI:10.4097/kjae.2001.41.2.184
  • 语种:Korean
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    BACKGROUND: It is well known that cardiac output increases the greatest after a normal vaginal delivery. This study was to demonstrate the change of cardiac output after delivery by a cesarean section. METHODS: Eighty three women who underwent an elective cesarean section were involved in this study. They were anesthetized with enflurane, O2 and N2O (1:1) after injection of glycopyrrolate IM as a premedicant. Hemodynamic variables (CO, CI, SVR, SVRI, SI, EF, MAP and HR) were measured at three different time points; preoperation, 10 and 30 minutes after delivery by using a thoracic bioimpedence. RESULTS: The values of CO, CI, SI, and EF at 10 and 30 minutes after delivery were increased significantly (P< 0.05) compared to those of preoperation. The CO of 10 and 30 min after delivery increased 35.4% and 30.7% retrospectively. However, the values of SVR and SVRI were decreased significantly (P< 0.05) and the values of MAP and HR were not changed at 10 and 30 minutes after delivery when compared to those of preoperation. CONCLUSIONS: From these result, the CO after delivery during a cesarean section under enflurane anesthesia increased significantly. Therefore, decompensation in the early postpartum period is a risk in patients with compromised cardiac status.

  • 关键词:enflurane; General; cardiac output; hemodynamics; cesarean section
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