Korean J Anesthesiol Search

CLOSE


Korean Journal of Anesthesiology 2001;41(2):184-189.
DOI: https://doi.org/10.4097/kjae.2001.41.2.184   
Change of Cardiac Output after Delivery during a Cesarean Section under General Anesthesia with Enflurane.
Bong Il Kim, Jin Yong Chung
Department of Anesthesiology, School of Medicine, Catholic University of Taegu, Daegu, Korea.
Abstract
BACKGROUND
It is well known that cardiac output increases the greatest after a normal vaginal delivery. This study was to demonstrate the change of cardiac output after delivery by a cesarean section.
METHODS
Eighty three women who underwent an elective cesarean section were involved in this study. They were anesthetized with enflurane, O2 and N2O (1:1) after injection of glycopyrrolate IM as a premedicant. Hemodynamic variables (CO, CI, SVR, SVRI, SI, EF, MAP and HR) were measured at three different time points; preoperation, 10 and 30 minutes after delivery by using a thoracic bioimpedence.
RESULTS
The values of CO, CI, SI, and EF at 10 and 30 minutes after delivery were increased significantly (P< 0.05) compared to those of preoperation. The CO of 10 and 30 min after delivery increased 35.4% and 30.7% retrospectively. However, the values of SVR and SVRI were decreased significantly (P< 0.05) and the values of MAP and HR were not changed at 10 and 30 minutes after delivery when compared to those of preoperation.
CONCLUSIONS
From these result, the CO after delivery during a cesarean section under enflurane anesthesia increased significantly. Therefore, decompensation in the early postpartum period is a risk in patients with compromised cardiac status.
Key Words: enflurane; general; cardiac output; hemodynamics; cesarean section


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
(서울특별시 마포구 마포대로 109 롯데캐슬 프레지던트 101동 3503호)
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                
Business Name: Korean Society of Anesthesiologists (대한마취통증의학회)
Business Registration: 106-82-07194
Representative: Young-Tae Jeon (전영태)

Copyright © 2025 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next