This is an automatically translated article.
The article is professionally consulted by an Anesthesiologist - General Surgery Department - Vinmec Nha Trang International General Hospital.
Preeclampsia is a dangerous disease with a high risk of death. Pregnant women with pre-eclampsia are often indicated for a cesarean section. The technique of endotracheal anesthesia is recommended to be applied in caesarean section cases in patients with pre-eclampsia in order to minimize complications for the patient.
1. Can I have a normal delivery with pre-eclampsia?
Preeclampsia is gestational hypertension in the second half of pregnancy (from 20 weeks of pregnancy) and the presence of protein in the urine of the pregnant woman. Preeclampsia reduces the amount of blood to the placenta, if this condition is prolonged, it will cause amniotic fluid to decrease, the fetus will be malnourished and more dangerously cause stillbirth in the uterus. Severe cases of preeclampsia affect a woman's heart, liver, kidneys, lungs, and brain.
Therefore, pregnant women with pre-eclampsia are often assigned to have a cesarean section and one of the techniques commonly used in pre-eclampsia is endotracheal anesthesia.
According to the recommendations of the Ministry of Health, the case of pre-eclampsia, cesarean section delivery by spinal anesthesia method in pregnant women with placenta previa, placenta previa, pre-eclampsia, eclampsia... are at high risk. some complications such as amniotic fluid embolism, cardiac arrest, coagulopathy, multi-organ failure occurred. Therefore, experts recommend general anesthesia to ensure safety for pregnant women.
2. What is endotracheal anesthesia?
Endotracheal anesthesia technique is an anesthetic technique with endotracheal intubation to maintain airway patency, facilitate tracheal aspiration and respiratory control during surgery.
Kỹ thuật gây mê nội khí quản là kỹ thuật gây mê có đặt ống nội khí quản để duy trì sự thông thoáng của đường hô hấp
This is a complicated technique, with a high risk of dangerous complications. Therefore, it requires the operator to have a high level of expertise and the medical facility must be fully equipped with appropriate equipment.
During the procedure, the patient will temporarily lose sensation and consciousness due to the effects of anesthesia, but the patient can still breathe on his own or breathe through an endotracheal machine.
3. Benefits of endotracheal anesthesia with cesarean section preeclampsia
Intubation anesthesia means incorporating a catheter into the patient's trachea during anesthesia for the following purposes:
Helps maintain upper airway ventilation; Support easy bronchial aspiration; Ensure breathing during general anesthesia in special positions and in critical, post-operative resuscitation stages.
4. Where is endotracheal anesthesia performed in pre-eclampsia caesarean section?
As mentioned, the technique of endotracheal anesthesia is a complicated technique, with a high potential for complications, especially when performed with pre-eclampsia pregnant women. Therefore, to ensure safety, it is imperative that this technique be performed only at reputable facilities with full necessary equipment and high medical and surgical qualifications.
Hệ thống bệnh viện Vinmec với sự toàn diện cả về trình độ chuyên môn, cơ sở vật chất và chất lượng dịch vụ chuyên nghiệp đã thực hiện rất thành công kỹ thuật gây mê nội khí quản phẫu thuật lấy thai trên bệnh nhân tiền sản giật
Vinmec hospital system with its comprehensive level of expertise, facilities and professional service quality has very successfully performed endotracheal anesthesia technique for cesarean section on pre-pregnancy patients. jerk.
Currently, this technique is being performed at Vinmec Nha Trang International General Hospital with the following advantages:
High success rate ≥ 95%, complication rate ≤ 5%, ensuring surgical safety Caesarean section on women with preeclampsia; contributed to the success in cesarean section with pathological conditions at Vinmec Nha Trang International Hospital in the past 3 years Modern operating room: Negative pressure operating room ensures high sterility, anesthesia machine system, machine Monitoring patients in modern surgery Owns anesthesiologists with extensive experience in Obstetric Anesthesiology such as: Master, Doctor Ton That Quang: With more than 15 years of working experience in Anesthesiology - Recovery Specialist Doctor I Ho Quoc Tuan : A doctor with many years of experience in the field of Anesthesiology - Resuscitation at Hoan My Danang Hospital and Phu Yen Provincial General Hospital, before being an Anesthesiologist at the Operating Room Unit - General Surgery Department of Vinmec Nha Trang International Hospital today.
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