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Two Hemodynamic Monitoring Methods for Cesarean Section

2019.07.29 / Monday

Two Hemodynamic Monitoring Methods for Cesarean Section



We know that cesarean section operation time is very short, most of the maternal are healthy women of the right age, anesthesiologist how to choose the hemodynamic monitoring mode?

Invasive or noninvasive hemodynamic monitoring?

 

Situation 1:

For high-risk pregnant women with definite diagnosis, such as central placenta previa and placental implantation, invasive hemodynamic monitoring should be carried out during the operation, and deep neck vein puncture should be completed before the operation to open large peripheral veins, so that even if massive bleeding occurs, anesthesiologists will not be rushed.

Simple invasive arterial monitoring and deep neck venipunctures do not add much to medical costs, but can be lifesaving in the event of major obstetric bleeding.

 

Situation 2:

Noninvasive hemodynamic monitoring is recommended for women who receive cesarean section without complicated diseases.

Because the operation time is very short, noninvasive hemodynamic monitoring can meet the basic requirements.

Invasive real-time hemodynamic monitoring is more valuable for the parturiates with more diseases and the possibility of severe intraoperative hemodynamic fluctuations, and can timely obtain the value of hemoglobin, blood gas analysis, blood lactic acid level and other values, so as to facilitate the judgment of anesthesiologists.

 

Both hemodynamic monitoring methods should be combined with reasonable temperature monitoring, and body cavity temperature probe or skin temperature probe should be used to monitor maternal temperature in real time to avoid intraoperative hypothermia.


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