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Анестезиологическое пособие при родоразрешении

Прочитайте:
  1. Анестезиологическое обеспечение
  2. Анестезиологическое пособие на этапе родоразрешения
  3. АНЕСТЕЗИОЛОГИЧЕСКОЕ ПОСОБИЕ.
  4. Классическое ручное пособие при тазовых предлежаниях
  5. Пособие по Н. А. Цовьянову при чистых ягодичных предлежаниях
  6. Учебно-методическое пособие
  7. Учебное пособие
  8. УЧЕБНОЕ ПОСОБИЕ
  9. УЧЕБНОЕ ПОСОБИЕ

При коагулопатии: тромбоцитопении (менее 100*109/л), дефиците плазменных факторов свертывания (МНО более 1,5, фибриноген менее 1,0 г/л, АПТВ более 1,5 от нормы) оперативное родоразрешение необходимо проводить в условиях общей анестезии, поскольку при таком состоянии системы гемостаза регионарная анестезия противопоказана. Для проведения общей анестезии при операции кесарева сечения могут быть использованы такие препараты как кетамин, фентанил, севофлюран.

Ограничение лекарственной терапии

  • Применение гепарина противопоказано
  • Нет достаточных доказательств эффективности плазмафереза

Литература

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