| Autor: |
DATTA, SANJAY, KITZMILLER, JOHN L., NAULTY, J. STEPHEN, OSTHEIMER, GERARD W., WEISS, JESS B. |
| Zdroj: |
Obstetrical and Gynecological Survey; March 1983, Vol. 38 Issue: 3 p154-154, 1p |
| Abstrakt: |
Pregnancy in the diabetic patient is associated with increased hazard to mother and fetus. Cesarean section is frequently required in this high-risk group. The present authors, in a previous investigation, noticed lower umbilical pH values in infants of diabetic mothers having spinal anesthesia for cesarean section than in infants whose diabetic mothers received general anesthesia (7.20 vs. 7.28). The study reported here was designed to assess the effectiveness of the following measures in the administration of spinal anesthesia: 1) strict regulation of maternal blood glucose levels to maintain them between 80 and 90 mg/dl, 2) acute intravenous volume loading immediately before the induction of spinal anesthesia with a dextrose-free solution, and 3) avoidance of maternal hypotension during anesthesia. The purpose of such measures was to improve the neonatal acid-base values in this special group of patients. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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