| 전신마취하의 제왕절개술에서 좌측 자궁전위의 효과 |
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박종국1, 박관식1, 김성엽2 |
1제주대학교 의과대학 마취통증의학교실
2제주대학교 의과대학 산부인과학교실 |
| Effects of Left Uterine Displacement on General Anesthesia for Cesarean Section |
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Jong Cook Park1, Kwan Sik Park1, Sung Yob Kim2 |
1Departments of Anesthesiology & Pain Medicine, Cheju National University College of Medicine. Jeju 690-756, Korea
2Departments of Obstetric & Gynecology , Cheju National University College of Medicine. Jeju 690-756, Korea |
Correspondence:
Jong Cook Park, Email: pjcook@cheju.ac.kr
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| Abstract |
Background
The hazards of aorto-caval compression by the gravid uterus in late pregnancy are well documented.
The provision of left uterine displacement (LUD) has proven highly beneficial to both mother and infant. We decided to investigate the effect of a new wedge to provide left uterine displacement.
Methods
40 full-termed patients undergoing elective Caesarean section under a standardized regimen of general anesthesia were studied. We randomly divided the patients into the control group and the LUD group and assessed changes of maternal MAP and HR and infant's Apgar scores and cord blood gas analysis.
Results
There were no significant differences in umbilical vein blood gas analysis, umbilical artery blood gas analysis, Apgar scores and changes of maternal heart rate between the two groups. Changes of maternal MBP in the LUD group were higher than those in the control. Regression analysis demonstrated a linear correlation between pH and BEecf pH = 0.01 x BE + 7.31, r2 = 0.42 (P < 0.005) in umbilical vein, pH = 0.01 x BE + 7.27, r2 = 0.39 ( P< 0.005) in umbilical artery. |
| Key Words:
blood gas analysis, caesarean section, general anesthesia, left uterine displacement, umbilical artery |
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