ĐÁNH GIÁ HIỆU QUẢ ĐIỀU TRỊ LẠNH RUN SAU GÂY TÊ TUỶ SỐNG MỔ LẤY THAI BẰNG MAGNESI SULFAT
Nội dung chính của bài viết
Tóm tắt
Đánh giá hiệu quả điều trị lạnh run sau gây tê tuỷ sống bằng magnesi sulfat cho sản phụ được mổ lấy thai và đánh giá tác dụng không mong muốn của phương pháp điều trị trên. Nghiên cứu mô tả cắt ngang 145 sản phụ được gây tê tuỷ sống để mổ lấy thai, tuổi bệnh nhân từ 18-50 tuổi, ASA I-II tại khoa Gây mê Hồi sức Bệnh viện Sản Nhi Nghệ An trong thời gian tháng 1-2021 đến 10-2021. Thời gian đạt hiệu quả điều trị sau 10 phút, 20 phút chiếm tỷ lệ cao nhất 28,28% và 31,03%. Hài lòng sản phụ sau xử trí run lạnh: rất hài lòng 72,41%; hài lòng 20,69%. Tác dụng không mong muốn: nóng bừng mặt 37,93%; nôn buồn nôn 8,28%.
Chi tiết bài viết
Từ khóa
Gây tê tủy sống, sản phụ, lạnh run, mổ lấy thai, magnesi sulfat.
Tài liệu tham khảo
1 Mizobe T, Nakajima Y, Clonidine produces a dose-dependant impairment of baroreflex-mediated thermoregulatory responses to positive end-expiratory pressure in anesthetized humans. Br J Anaesth 2005; 94:536–41.
2 Kranke P, R. Single-dose parenteral pharmacological interventions for the prevention of postoperative shivering: a quantitative systematic review of randomized controlled trials. Anesth Analg 2004; 99:718–27.
3 Zweifler RM, Voorhees ME, et al., Magnesium sulfate increases the rate of hypothermia via surface cooling and improves comfort. Stroke 2004; 35:2331–4.
4 Lee C, Electromyographic -mechanomyographic characteristics of neuromuscular block by magnesium sulphate in the pig. Br J Anaesth 1996; 76:278–83.
5 Lam ND, Evaluation of the effectiveness of spinal anesthesia and spinal anesthesia combined epidural for cesarean section in patients with severe preeclampsia. Published online 2013.
6 Ngoc NH, Evaluate the anesthesia and postoperative analgesia in cesarean section of spinal anesthesia with bupivacaine combinated with morphine at different doses. Journal of Obstetrics and Gynecology, 2012; 10(2):92-97.
7 Loi DV, Study on spinal anesthesia with Bupivacaine combined with Morphine in cesarean section. Master Thesis, Hanoi Medical University, 2007.
8 Cuong TV, Evaluating the effectiveness of spinal anesthesia with doses of 7mg, 8mg, 10mg high density bupivacaine 0.5% combined with 40 µg fentanyl. Master Thesis, Hanoi Medical University, 2012.
9 Quang TT, Drugs used in spinal anesthesia for cesarean section. Doctoral topic, clinical research institute 108, 2012.
10 Teoh WHL, Sia ATH, Colloid preload versus coload for spinal anesthesia for cesarean delivery: the effects on maternal cardiac output. Anesth Analg. 2009;108(5):1592-1598. doi:10.1213/ane.0b013e31819e016d.
11 Tung NT, Evaluate the effect of spinal anesthesia with low dose bupivacaine in combination with fentanyl in cesarean section. Master Thesis, Hanoi Medical University, 2008.
12 Hoan PL, Evaluate the effectiveness of phenylephrine to treat the hypotension in patients undergoing spinal anesthesia for cesarean section. Master Thesis, Hanoi Medical University, 2017.
13 Thanh NT, Evaluate the effectiveness of phenylephrine continuous intravenous infusion in preventing hypotension during spinal anesthesia for cesarean section. Master Thesis, Hanoi Medical University, 2018.
14 Tu PTA, Thang CQ, Evaluate the effectiveness of dexamethasone in preventing nausea and vomiting compared with the combination of dexamethasone and ondasettron in spinal anesthesia for cesarean section. Journal of Vietnamese Medicine; episode 483; 2019, p.35-39.
15 Pakniat H, Lalooha F, The effect of ginger and metoclopramide in the prevention of nausea and vomiting during and after surgery in cesarean section under spinal anesthesia. Mar 2020;63(2):173-180.
16 Quang TT, Study on pain relief method after cesarean section by epidural anesthesia with ropivacaine 0.125%. Journal of Medical Research, episode 102, 2016, No.6, 11/2016, 80-85.
17 T. Chand P.B, Patient-controlled epidural analgesia after hysterectomy with bupivacain 0,125%: comparison of different concentrations of sufentanil and fentanyl. The internet Jounal of Anesthesiology; 2012: 30(3).
18 P. Sultan, A.S. Habib, Y. Cho, B. Carvalho, The effect of patient warming during Caesarean delivery on maternal and neonate outcomes: a meta-analysis. British Journal of Anaesthesia. 2015; 115 (4):500-510.
19 Teimoori B, Ghasemi M, Comparison of general and spinal anesthesia on maternal hemoglobin changes after caesarean section. Biomedical and Pharmacology Journal. 2016, 9(3):977-982.
20 Sheiner E, Sarid L, Obstetric risk factors and outcome of pregnancies complicated with early postpartum hemorrhage: a population-based study. The journal of maternal-fetal & neonatal medicine. Sep 2005; 18(3):149-154.
21 Ohkuchi A, Onagawa T, Effect of maternal age on blood loss during parturition: a retrospective multivariate analysis of 10,053 cases. Journal of perinatal medicine; 2003, 31(3):209-215.
22 Al-Zirqi I, Vangen S, Prevalence and risk factors of severe obstetric haemorrhage. BJOG : an international journal of obstetrics and gynaecology. Sep 2008;115(10):1265-1272.
23 Garcia-Miguel F, Prophylaxis against intraoperative nausea and vomiting during spinal anesthesia for cesarean section: a comparative study of ondansetron versus metoclopramide. The Internet Journal of Anesthesiology. 2000; 4(2).
24 N Banihashem BH, Comparison of the Prophylactic Effect of Ondansetron and Dexamethasone on Postoperative Nausea and Vomiting after Intrathecal Meperidine in Women Scheduled for Elective Cesarean Section. journal of Babol University Of Medical Sciences. 2011;13(3):29-33.
2 Kranke P, R. Single-dose parenteral pharmacological interventions for the prevention of postoperative shivering: a quantitative systematic review of randomized controlled trials. Anesth Analg 2004; 99:718–27.
3 Zweifler RM, Voorhees ME, et al., Magnesium sulfate increases the rate of hypothermia via surface cooling and improves comfort. Stroke 2004; 35:2331–4.
4 Lee C, Electromyographic -mechanomyographic characteristics of neuromuscular block by magnesium sulphate in the pig. Br J Anaesth 1996; 76:278–83.
5 Lam ND, Evaluation of the effectiveness of spinal anesthesia and spinal anesthesia combined epidural for cesarean section in patients with severe preeclampsia. Published online 2013.
6 Ngoc NH, Evaluate the anesthesia and postoperative analgesia in cesarean section of spinal anesthesia with bupivacaine combinated with morphine at different doses. Journal of Obstetrics and Gynecology, 2012; 10(2):92-97.
7 Loi DV, Study on spinal anesthesia with Bupivacaine combined with Morphine in cesarean section. Master Thesis, Hanoi Medical University, 2007.
8 Cuong TV, Evaluating the effectiveness of spinal anesthesia with doses of 7mg, 8mg, 10mg high density bupivacaine 0.5% combined with 40 µg fentanyl. Master Thesis, Hanoi Medical University, 2012.
9 Quang TT, Drugs used in spinal anesthesia for cesarean section. Doctoral topic, clinical research institute 108, 2012.
10 Teoh WHL, Sia ATH, Colloid preload versus coload for spinal anesthesia for cesarean delivery: the effects on maternal cardiac output. Anesth Analg. 2009;108(5):1592-1598. doi:10.1213/ane.0b013e31819e016d.
11 Tung NT, Evaluate the effect of spinal anesthesia with low dose bupivacaine in combination with fentanyl in cesarean section. Master Thesis, Hanoi Medical University, 2008.
12 Hoan PL, Evaluate the effectiveness of phenylephrine to treat the hypotension in patients undergoing spinal anesthesia for cesarean section. Master Thesis, Hanoi Medical University, 2017.
13 Thanh NT, Evaluate the effectiveness of phenylephrine continuous intravenous infusion in preventing hypotension during spinal anesthesia for cesarean section. Master Thesis, Hanoi Medical University, 2018.
14 Tu PTA, Thang CQ, Evaluate the effectiveness of dexamethasone in preventing nausea and vomiting compared with the combination of dexamethasone and ondasettron in spinal anesthesia for cesarean section. Journal of Vietnamese Medicine; episode 483; 2019, p.35-39.
15 Pakniat H, Lalooha F, The effect of ginger and metoclopramide in the prevention of nausea and vomiting during and after surgery in cesarean section under spinal anesthesia. Mar 2020;63(2):173-180.
16 Quang TT, Study on pain relief method after cesarean section by epidural anesthesia with ropivacaine 0.125%. Journal of Medical Research, episode 102, 2016, No.6, 11/2016, 80-85.
17 T. Chand P.B, Patient-controlled epidural analgesia after hysterectomy with bupivacain 0,125%: comparison of different concentrations of sufentanil and fentanyl. The internet Jounal of Anesthesiology; 2012: 30(3).
18 P. Sultan, A.S. Habib, Y. Cho, B. Carvalho, The effect of patient warming during Caesarean delivery on maternal and neonate outcomes: a meta-analysis. British Journal of Anaesthesia. 2015; 115 (4):500-510.
19 Teimoori B, Ghasemi M, Comparison of general and spinal anesthesia on maternal hemoglobin changes after caesarean section. Biomedical and Pharmacology Journal. 2016, 9(3):977-982.
20 Sheiner E, Sarid L, Obstetric risk factors and outcome of pregnancies complicated with early postpartum hemorrhage: a population-based study. The journal of maternal-fetal & neonatal medicine. Sep 2005; 18(3):149-154.
21 Ohkuchi A, Onagawa T, Effect of maternal age on blood loss during parturition: a retrospective multivariate analysis of 10,053 cases. Journal of perinatal medicine; 2003, 31(3):209-215.
22 Al-Zirqi I, Vangen S, Prevalence and risk factors of severe obstetric haemorrhage. BJOG : an international journal of obstetrics and gynaecology. Sep 2008;115(10):1265-1272.
23 Garcia-Miguel F, Prophylaxis against intraoperative nausea and vomiting during spinal anesthesia for cesarean section: a comparative study of ondansetron versus metoclopramide. The Internet Journal of Anesthesiology. 2000; 4(2).
24 N Banihashem BH, Comparison of the Prophylactic Effect of Ondansetron and Dexamethasone on Postoperative Nausea and Vomiting after Intrathecal Meperidine in Women Scheduled for Elective Cesarean Section. journal of Babol University Of Medical Sciences. 2011;13(3):29-33.