• Modern approaches to the provision of anesthesia cesarean section 
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Modern approaches to the provision of anesthesia cesarean section 

HEALTH OF WOMAN. 2016.1(107):94–98; doi 10.15574/HW.2016.107.94 
 

Modern approaches to the provision of anesthesia cesarean section 
 

Yong-Din Kim, Semenikhin A. A., Abidov A. K.

«JSC» RSSPMC O and G, Tashkent 
 

An objective assessment of the two options regarding spinal anesthesia abdominal delivery was conducted. There were examined 89 women, who were divided into 2 groups, aged 21 to 36 years, without severe extra genital pathology. A lumbar puncture was performed no higher than L2-L3, were injected intrathecally only barbaric solutions of local anesthetics. Patients of the firstІ group were injected by intrathecal 5% lidocaine (1.2-1.4 mg/kg), in the second used 0.5% solution barbarini Logocan Heavy (0.15-0.2 mg/kg). At the stages of anesthesia and surgery was studied Central hemodynamic, a functional state of the SPA. Was evaluated the nature of postnatal early adaptation of newborns.

Neuroaxial anesthesia Logocan Heavy (hyperbaric) is a highly effective and fairly safe method of regional anesthesia that can be recommended for anesthetic management of cesarean section. The level of motor block in group I (ThIV) was higher than in the II (ThVIII), despite the same conditions of the operational position. The development of hypotension in group I, which required correction by vasopressors was in 32 (34.7%) patients, and in 15 (15.4%) patients of group II who received Logocan Heavy. A more pronounced low impact on hemodynamic, SPA was given 5% lidocaine and causing transient neurological symptoms. 
 

Key words: neuroaxial anesthesia, spinal anesthesia, cesarean section, Logocan Heavy. 
 

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