Брадикардiя пiд час спiнальної анестезiї

В. С. Фесенко

Анотація


Поширенiсть брадикардiї пiд час спiнальної анестезiї – доволi висока (вiд 5 до 13%), тяжка брадикардiя (частота серцевих скорочень менш нiж 40 на хвилину) трапляється рiдше (0,7%). Головний механiзм – «зворотний» рефлекс Бейнбриджа внаслiдок зниженого венозного припливу до правого передсердя. Iншi причиннi фактори: чоловiча стать, частота серцевих скорочень менш нiж 60 на хвилину, вiк молодше за 37 рокiв, тривала операцiя, подовжений iнтервал PQ. Лiкування: атропiн (0,4–1,0 мг), ефедрин (25–50 мг), адреналiн (0,2–0,3 мг). Профiлактика – пiдтримання венозного припливу пiд час i пiсля операцiї. Глибока брадикардiя може призвести до зупинки серця, що потребує торакального масажу.


Ключові слова


спiнальна анестезiя; ускладнення; брадикардiя

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Посилання


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DOI: http://dx.doi.org/10.25284/2519-2078.2(67).2014.84973

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