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There were no differences in epidural catheter movement among the groups; no catheters became displaced during labor. Local infiltration of epinephrine-containing lidocaine before epidural catheter jiye toh jiye kaise female viagra reduces superficial bleeding and the addition of bicarbonate decreases pain during skin infiltration. Fluid preloading with colloids reduces hypotension after spinal anesthesia for Cesarean delivery more effectively than crystalloids. However, the effects of fluid preloading regimens on coagulation in pregnant patients remain unresolved. The aim of this study was to compare the effects on coagulation of fluid preloading with 6 hydroxyethyl starch (HES) and lactated Ringer's (LR) solution using thromboelastography (TEG) with kaolin-activated whole blood in healthy pregnant patients prior to spinal anesthesia for Cesarean delivery. After obtaining Ethics committee approval, 30 parturients were prospectively randomized prior to spinal anesthesia for elective Cesarean delivery to papierosy ziolowa viagra fluid preloading with either 1500 mL LR or 500 mL 6 HES over 30 min. Thromboelastography was performed immediately prior to and after fluid preloading. Standard TEG parameters were analyzed in terms of r time (min), k time (min), alpha angle (degrees) and maximum amplitude (mm). Group HES had statistically significant longer reaction times (r) and clot formation times (k) after fluid loading compared to baseline values (P.

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