Changes in Hemodynamic Reading in Spinal Anesthesia for Cesarean Section
DOI:
https://doi.org/10.37762/jwmipt.5Keywords:
Spinal Anesthesia, Hemodynamic, Blood pressure, Heart rate, Cesarean-SectionAbstract
OBJECTIVES:
To compare the pre and post induction blood pressure and heart rate readings in spinal anesthesia during Cesarean section.
METHODOLOGY:
This was a cross sectional study conducted in Capital Development Authority Hospital, Islamabad. 100 patients were included in this study. Data was collected through structured Performa. Convenient sampling method was used for the selection of participants. Informed consent was taken from the patients and the concerns doctors to collect the data. The ethical approval was taken from the ethical committee of the Capital Development Authority Hospital, Islamabad.
RESULTS:
Total was 100 cases selected in which the patients had surgery history, 32 patients had no surgery history. There was difference in the blood pressure and heart rate readings of the pre and post induction of the spinal anesthesia during cesarean of the patients.
CONCLUSION:
It was concluded that spinal Spinal anesthesia is commonly used for elective cesarean delivery.
References
Lewis G. The Confidential Enquiry into maternal and child health (CEMACH). Saving Mothers’ Lives: Reviewing maternal deaths to make motherhood safer- 2003-2005. The seventh Report on Confidential Enquiries into maternal deaths in the United Kingdom. London:CEMACH.200
Levy D.M Emergency Cesarean section: best practice. Anesthesia 2006.
Campbell D C, Tran T Conversion of epidural labour analgesia to epidural anesthesia for intrapartum Cesarean delivery. Can J Anesth2009.
Rawal N, Holmstrom B. The combined sinal-epidural technique. Best pract Res Clin Anesthesiol 2003.
Bevacqua B K. Continous spinal anesthesia: what’s new and what’s not. Best Pract Res Clin Anesthsiol 2003.
Dresner M, Pinder A, Anesthesia for cesarean section in women with complex cardiac disease; 34 cases using the braun Spinocath spinal catheter. Int J Obstet Anesth 2009.
Choi P T Galinski S E, Takeuchi L, Lucas S, Tamayo C, Jadad A R. PDPH is a Common Complication of neuroaxial blockade in parturient: a meta-analysis of obstetric studies. Can J Anesth 2003.
Pallasmaa N, Ekblad U, Gissler M. severe maternal morbidity and the mode of delivery. Acta Obstet Gynecol Scand 2008.
Kodali B S, Chandrasekhar S, Bulich L N, Topulos G P, Datta S. Airway changes during labor and delivery. Anesthesiologist 2008.
Reynolds F, Sharma S, Seed PT. Analgesia in labour and fetal acid-base balance: a meta-analysis comparing epidural with systemic opioid analgesia. British Journal of Obstetrics and Gynaecology 2002.
Palmer SK. Anaesthesia care for obstetric patients in the United States. In: Reynolds F, ed. Regional Analgesia in Obstetrics – a Millennium Update. London: Springer, 2000.
Casey B M, McIntire D D, Leveno K J. The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med 2001.Gynaecol Res 2017.
Xu Z, Shen F, Zhang Y, Tao Y, Chen X and Liu Z. Combined spinal-epidural anesthesia with hypobaric ropivacaine in sitting position significantly increases the incidence of hypotension in parturients undergoing cesarean section. J Obstet Gynaecol Res 2017; 43: 669-675.
Ram M, Lavie A, Lev S, Blecher Y, Amikam U, Shulman Y, Avnon T, Weiner E and Many A. Cardiac hemodynamics before, during and after elective cesarean section under spinal anesthesia in low-risk women. J Perinatol 2017.
Ngan Kee WD, Khaw KS, NgFF, Lee BB. Prophylactic phenylephrine infusion for preventing hypotension during spinal anesthesia for cesarean delivery. Anesth Analg 2004.
Dyer RA, Reed AR, van Dyk D, Arcache MJ, Hodges O, Lombard CJ, Greenwood J, James MF. Hemodynamic effects of ephedrine, phenylephrine, and the coadministration of phenylephrine with oxytocin during spinal anesthesia for elective cesarean delivery. The Journal of the American Society of Anesthesiologists. 2009 Oct 1;111(4):753-65..
Dyer RA, James MF. Maternal hemodynamic monitoring in obstetric anesthesia. Anesthesiology 2008.
Sharwood-Smith G, Drummond GB. Hypotension in obstetric spinal Anaesthesia: a lesson from preeclampsia. Br J Anaesth 2009.
Yokose M, Mihara T, Sugawara Y and Goto T. The predictive ability of non- invasive haemodynamic parameters for hypotension during caesarean section: a prospective observational study. Anaesthesia 2015.
Kuwata S, Suehiro K, Juri T, Tsujimoto S, Mukai A, Tanaka K, Yamada T, Mori T and Nishikawa K. Pleth variability index can predict spinal Anaesthesia-induced hypotension in patients undergoing caesarean delivery. Acta Anaesthesiol Scand 2018.
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2021-08-01
