The clinical protocol outlines the procedure for the provision of specialized anesthesia-resuscitation assistance in the case of massive obstetric hemorrhages, adopted in the Department of Anaesthesiology and Reanimation of the Ott. Institute of Obstetrics, Gynecology and Reproductology. The protocol emphasizes that the provision of full-fledged assistance with massive obstetric hemorrhages and hemorrhagic shock (GSH) is possible only in conditions of deployed operating room. The recommendations on the implementation of infusion-transfusion therapy (ITT), including venous access and the composition of ITT, on the use of vasoactive therapy, the choice of the method of anesthesia and drugs for its conduct. Other pharmacotherapy with GSH is indicated, including the features of the application of uterotonic drugs. The tactics of respiratory support, as well as the volume of hardware and laboratory monitoring, are presented. Recommendations for the management of patients in the post-shock period are given. The effectiveness of this clinical protocol is confirmed by many years of practice of the department.
Nonspecific aortoarteriitis (Takayasu’s disease) is a rare inflammatory disease of the arteries that affects women of childbearing age. Many authors have reported adverse effects in the mother and fetus during pregnancy. We report a case of operative delivery 41-year-old women having a third pregnancy, which was diagnosed nonspecific aortoarteriitis at the age of 12. Our patient was observed high blood pressure. The disease was characterized by a stable course and was well controlled by taking glucocorticoids. The article discusses the question of the choice of anesthesia.
The secondary gravida pregnant patient with uterine scar after previous cesarean section was treated with parenteral methamizol sodium due to renal colic and acute thrombocytopenia suddenly occurred. There were supposed that this condition had been drugs induced heteroimmune thrombocytopenia. The indications for planned cesarean section were breech presentation of large fetus in patient with uterine scar. However, uterine contractions appeared in 38/39 weeks and it was decided to deliver the patient urgently after appropriate preparing. The treating of severe thrombocytopenia was substitutive — thromboconcentrate and plasma transfusion and pathogenetic — using of dexamethasone and human immunoglobulin. After transfusion of one dose of thromboconcentrate and two doses of plasma the level of thrombocytes had reached of 21 × 109/л and it was decided to start cesarean section which was performed successfully in conditions of total combined anesthesia with tracheal intubation and pulmonary ventilation. The recovery of thrombocytes quantity occurred in postoperative period with continuing using of steroid therapy.
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