摘要:

Abstract.The symptoms of hypertension in pregnancy may be exacerbated by pain or other stressful stimuli, arising during labour. The anaesthetist has a part to play in alleviating these problems, through his knowledge of analgesic techniques. In addition, pre‐eclampsia sometimes necessitates delivery by cesarean section. Increases in arterial pressure during intubation and surgery may be poorly tolerated. Proper anaesthetic management of pre‐eclampsia therefore requires knowledge of circulatory and other, e.g. hormonal, responses to pain and other types of stress. The present paper gives a short review of these aspe

ISSN:0001-6349    

DOI:10.3109/00016348409157135

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Abstract.The sympathoadrenal system is activated in both the mother and fetus during parturition. The fetal plasma catecholamines may reach extremely high levels during deliveries complicated by asphyxia.Increased maternal sympathoadrenal activity during labour or caesarean section may negatively affect utero‐placental blood flow with possible adverse effects on the fetus. Such an increase may be avoided by adequate maternal pain relief and by the sympathetic blockade which follows epidural anaesthesia.Fetal sympathoadrenal activation during parturition seems on the contrary to be of positive functional importance both for fetal circulatory regulation in utero a well as for the neonatal adaptation in terms of pulmonary function and metabolic stimulatio

ISSN:0001-6349    

DOI:10.3109/00016348409157136

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Abstract.To protect mother and fetus from the stress of vaginal delivery, caesarean section is to be chosen in severe cases of pre‐eclampsia. When general anaesthesia is used, attention must be paid to the increase in arterial pressure, pulmonary arterial pressure (PA) and pulmonary capillary wedge pressure (PCW), which occur during intubation, tracheal suction and extubation. In epidural block, on the other hand, hypotension is a common phenomenon if the hypovolaemia is not corrected before the anaesthesia. It is important for the anaesthesiologist to see these women early to be able to treat the hypovolaemia and hypertension prior to caesarean sectio

ISSN:0001-6349    

DOI:10.3109/00016348409157137

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Abstract.Pre‐eclampsia is associated with a hyperdynamic circulation (increased cardiac output, systemic vascular resistance) and increased mean arterial blood pressure, and a diminished plasma volume. Expansion of plasma volume without simultaneous measures on circulation or proper monitoring may be detrimental, leading to pulmonary and brain edem

ISSN:0001-6349    

DOI:10.3109/00016348409157138

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY