Gavrychenko D. Influence of prolonged epidural anesthesia on the structure thrombo-hemorrhagic perioperative complications on stage in patients with endometrial cancer

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0413U000198

Applicant for

Specialization

  • 14.01.30 - Анестезіологія та інтенсивна терапія

22-12-2012

Specialized Academic Board

Д.08.601.01

Essay

Research is dedicated to improving the complex treatment of patients with endometrial cancer. Based on the analysis of the spectrum and substance disorders of hemostasis characteristic of this pathology, the expediency of incorporating low-frequency piezoelectric thromboelastography for dynamic monitoring of hemostasis, functional tests with a double local hypoxia upper limb to determine the reserve capacity of hemostasis and elongated epidural anesthesia for anesthesia during surgery in combination with the subsequent appointment bemiparin low molecular weight heparin 2500 IU 1 per day for 10 days. Influence of prolonged epidural anesthesia in combination with low molecular weight heparin on hemostatic system. Determined that the proposed integrated circuit correction of hemostasis in patients with endometrial cancer reduces the severity of their condition, the number of thrombotic complications and period of stay in the ICU and in the hospital.Confirmed the safety of the proposed technique. Design and implementation of practical recommendations for diagnosis, prevention and comprehensive correction of thrombotic complications in patients with endometrial cancer.

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