dc.creatorBLIACHERIENE, Fernando
dc.creatorCARMONA, Maria Jose Carvalho
dc.creatorBARRETTI, Cristina de Freitas Madeira
dc.creatorHADDAD, Cristiane Maria Federicci
dc.creatorMOUCHALWAT, Elaine Soubhi
dc.creatorBORTOLOTTO, Maria Rita de Figueiredo Lemos
dc.creatorFRANCISCO, Rossana Pulcineli Vieira
dc.creatorZUGAIB, Marcelo
dc.date.accessioned2012-10-19T17:02:59Z
dc.date.accessioned2018-07-04T15:04:43Z
dc.date.available2012-10-19T17:02:59Z
dc.date.available2018-07-04T15:04:43Z
dc.date.created2012-10-19T17:02:59Z
dc.date.issued2011
dc.identifierREVISTA BRASILEIRA DE ANESTESIOLOGIA, v.61, n.5, p.610-618, 2011
dc.identifier0034-7094
dc.identifierhttp://producao.usp.br/handle/BDPI/21501
dc.identifierhttp://apps.isiknowledge.com/InboundService.do?Func=Frame&product=WOS&action=retrieve&SrcApp=EndNote&UT=000295190600011&Init=Yes&SrcAuth=ResearchSoft&mode=FullRecord
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1618276
dc.description.abstractBliacheriene F, Carmona MJC, Barretti CFM, Haddad CMF, Mouchalwat ES, Bortlotto MRFL, Francisco RPV, Zugaib M - Use of a Minimally Invasive Uncalibrated Cardiac Output Monitor in Patients Undergoing Cesarean Section under Spinal Anesthesia: Report of Four Cases. Background and Objectives: Hemodynamic changes are observed during cesarean section under spinal anesthesia. Non-invasive blood pressure (BP) and heart rate (HR) measurements are performed to diagnose these changes, but they are delayed and inaccurate. Other monitors such as filling pressure and cardiac output (CO) catheters with external calibration are very invasive or inaccurate. The objective of the present study was to report the cardiac output measurements obtained with a minimally invasive uncalibrated monitor (LiDCO rapid) in patients undergoing cesarean section under spinal anesthesia. Case report: After approval by the Ethics Commission, four patients agreed to participate in this study. They underwent cesarean section under spinal anesthesia while at the same time being connected to the LiDCO rapid by a radial artery line. Cardiac output, HR, and BP were recorded at baseline, after spinal anesthesia, after fetal and placental extraction, and after the infusion of oxytocin and metaraminol. We observed a fall in BP with an increase of HR and CO after spinal anesthesia and oxytocin infusion; and an increase in BP with a fall in HR and CO after bolus of the vasopressor. Conclusions: Although this monitor had not been calibrated, it showed a tendency for consistent hemodynamic data in obstetric patients and it may be used as a therapeutic guide or experimental tool.
dc.languageeng
dc.publisherELSEVIER SCIENCE INC
dc.relationRevista Brasileira de Anestesiologia
dc.rightsCopyright ELSEVIER SCIENCE INC
dc.rightsclosedAccess
dc.subjectAnesthesia
dc.subjectSpinal
dc.subjectMonitoring
dc.subjectIntraoperative
dc.subjectHemodynamics
dc.subjectCardiac Output
dc.subjectHypotension
dc.subjectCesarean Section
dc.titleUse of a Minimally Invasive Uncalibrated Cardiac Output Monitor in Patients Undergoing Cesarean Section under Spinal Anesthesia: Report of Four Cases
dc.typeArtículos de revistas


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