METHOD FOR PREDICTING HEMODYNAMIC DISORDERS DURING SPINAL ANESTHESIA DURING CESAREAN DELIVERY IN PRIMIPAROUS OF YOUNG AGE

摘要

FIELD: medicine.;SUBSTANCE: invention relates to clinical medicine, namely to anesthesiology and resuscitation, as a method for predicting the development of arterial hypotension in pregnant young adults with spinal anesthesia during cesarean delivery. Essence of the invention lies in the fact that saliva sampling and measurement of blood pressure on the operating table must be performed immediately before anesthesia is performed. Probability of development of arterial hypotension in a patient is calculated by the formula: P(hypotension)=1/(1+1/exp(4.9082+0.0023*AAS-0.1589*SAD)), where P – probability of hypotension; AAS – α-amylases in saliva; SAD – systolic blood pressure. If probability is less than 0.5, then hypotension forecast is negative, if P is greater than or equal to 0.5, intraoperative hypotension is predicted in this patient. Concentration indices are determined αα-amylase in the patient's saliva before the operation by cesarean section, blood pressure is also measured and due to this, the development of arterial hypotension is predicted.;EFFECT: development of a method for predicting arterial hypotension during spinal anesthesia during cesarean section in primiparous young age.;1 cl, 2 tbl, 1 dwg