Брадикардия во время спинальной анестезии

В. С. Фесенко

doi:10.25284/2519-2078.2(67).2014.84973

Автор(и)

В. С. Фесенко Харкiвська медична академiя пiслядипломної освiти, Харкiв, Україна

DOI:

https://doi.org/10.25284/2519-2078.2(67).2014.84973

Ключові слова:

спiнальна анестезiя, ускладнення, брадикардiя

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.

Біографія автора

В. С. Фесенко, Харкiвська медична академiя пiслядипломної освiти, Харкiв

Фесенко В.С.

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