[Central haemodynamics parameters during different anaesthesia methods of surgical delivery in preeclampsia women]

To study influence of various anaesthesia methods on key central haemodynamics parameters in patients with heavy preeclampsia during surgical delivery.

Prospective randomized comparative research was carried out. 60 pregnant women were included in research with a heavy preeclampsia after Cesarean section. Patients were randomized (a method of envelopes) in 2 groups (30 patients each): group with spinal anesthesia and general anaesthesia.

In spinal anaesthesia group there was more favorable haemodynamic profile at all investigation phases: moderate decrease in blood pressure, stroke volume increase and peripheral vascular resistance decrease were observed. General sevoflurane anaesthesia was accompanied by tachycardia, arterial hypertension, stroke volume decrease at a prenatal stage and stabilization of indicators only at the following investigation phases. pinal anaesthesia during surgery delivery in heavy preeclampsia patients is more preferable from the point of view of haemodynamic stability.