scholarly journals The Effectiveness Of Non Invasive Hemodynamic Parameters In Detection Of Spinal Anesthesia Induced Hypotension During Cesarean Section

2021 ◽  
Vol 57 (1) ◽  
pp. 121-129
Author(s):  
Yasser Essam Elfeil ◽  
Ahmed Mohammed Alattar ◽  
Tamer Ahmed Ghoneim ◽  
Aliaa Rabie Abd Elaziz ◽  
Ehsan Akram Deghidy
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Hemodynamic Parameters ◽  
Induced Hypotension ◽  
Non Invasive

scholarly journals Comparison of efficacy and safety of preemptive infusion protocols of ephedrine and phenylephrine - prevention of hypotension and effects on hemodynamic parameters during spinal anesthesia for caesarean section

2020 ◽  
Vol 148 (3-4) ◽  
pp. 173-179
Author(s):  
Aleksandra Vukotic ◽  
David Green ◽  
Jasna Jevdjic ◽  
Milovan Vukotic ◽  
Nina Petrovic ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cardiac Output ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Stroke Volume ◽  
Spinal Anesthesia ◽  
Hemodynamic Parameters ◽  
Efficacy And Safety ◽  
Non Invasive

Introduction/Objective. Spinal anesthesia (SA) for cesarean section may lead to significant changes in hemodynamic parameters, especially hypotension. The aim of this study was to determine and compare the efficacy and safety of preemptive infusion protocols of the two most commonly used vasopressors, ephedrine (Group E, n = 29) and phenylephrine (Group P, n = 31) not only on prevention of hypotension but also to determine their effect on hemodynamic parameters, such as stroke volume (SV) and cardiac output (CO) using a continuous non-invasive hemodynamic monitor. Methods. The infusion of ephedrine was administered at the rate of 5 mg/min. immediately after SA. Phenylephrine was administered at an infusion rate of 25 ?g/min for two minutes prior to SA. Results. In Group E, mean systolic blood pressure (SBP) and heart rate (HR) were similar to baseline. CO was higher (p < 0.001), while systemic vascular resistance (SVR) was lower than baseline (p < 0.001). In Group P, mean SBP and diastolic blood pressure (DBP) were lower than baseline, respectively (p = 0.006, p < 0.001). SBP, DBP, CO, SV, SVR, and HR were significantly different between the E and P groups (p < 0.001). Conclusion. E and P vasopressors are both effective in the prevention of hypotension during SA.

scholarly journals Determination of Spinal Anesthesia Induced Hypotension in Cesarean Section

2019 ◽  
Vol 4 (2) ◽  
pp. 71-73
Author(s):  
Sanjay Kumar Gupta ◽  
◽  
Saurabh Singhal ◽  
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Induced Hypotension

scholarly journals Comparison of hemodynamic change following spinal anesthesia in preeclamptic and non-preeclamptic parturients undergoing cesarean section at University of Gondar comprehensive specialized hospital, Northwest Ethiopia.

2020 ◽  
Author(s):  
Tikuneh Yetneberk ◽  
Yophetah W. Berhe ◽  
Habtamu Getnet ◽  
Mamaru Mollalign
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Northwest Ethiopia ◽  
Distributed Data ◽  
Induced Hypotension ◽  
Exact Test ◽  
Specialized Hospital ◽  
Intergroup Comparison ◽  
Student’S T ◽  
Normally Distributed

Abstract Background Spinal anesthesia-induced maternal hypotension is the most frequent complication associated with maternal morbidity and mortality during cesarean section. The aim of this study was to compare the incidence and magnitude of hemodynamic changes in preeclamptic and non-preeclamptic parturients undergone cesarean section under spinal anesthesia. Method A prospective cohort study was conducted from February to May 2019 in University of Gondar comprehensive specialized hospital. A total of 122 ASA II and ASA III parturients were recruited consecutively and assigned to two groups (81non-preeclamptics, and 41 preeclamptics). The data analysis was done by SPSS version 22 statistical software. The data were tested for normality with Shapiro Wilk U-test and normally distributed data were compared by using the independent student’s t-test. Whereas non-normally distributed data were compared using the Mann-Whitney U- test. Fisher’s exact test was used for intergroup comparison of proportion. All P values <0.05 were considered statistically significant. Result The incidence of spinal anesthesia-induced hypotension was higher in non-preeclamptic parturients than preeclamptic parturients (55.6% vs. 34.1%, respectively) and the degree of blood pressure drop was significantly greater in the non-preeclamptic parturients compared to those with preeclampsia; As well intraoperative fluid consumption was significantly greater in the non-preeclamptics parturients compared to those with preeclamptics. Conclusion The incidence and magnitude of spinal anesthesia-induced hypotension in parturients undergone cesarean section were less in preeclamptic parturients than in non-preeclamptic parturients. Therefore, don’t deny spinal anesthesia for preeclamptic parturients due to fear of profound hypotension, unless there is a contraindication for spinal anesthesia.

scholarly journals Clinical Comparative Study of Effect of Two Different Doses of Phenylephrine on Spinal Induced Hypotension during Cesarean Section

2021 ◽  
pp. 482-489
Author(s):  
S. Hiruthick ◽  
K. V. L. Sanjana
Keyword(s):  
Blood Pressure ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Prospective Observational Study ◽  
Bolus Dose ◽  
Systolic Pressure ◽  
Induced Hypotension ◽  
Group A ◽  
Group B ◽  
Different Doses

Background and Aims: During Cesarean section, hypotension occurs in the most of parturients, following spinal anesthesia. This prospective observational study was undertaken to determine the efficacy of two different Bolus Doses of Phenylephrine for Prevention of Spinal-Induced Hypotension during Cesarean Section. Materials and Methods: A total of 120 parturients undergoing cesarean section were divided into two groups of group A and group B with sixty in each group. Group A received phenylephrine 75 mcg IV bolus, while Group B received phenylephrine 100 mcg IV bolus, immediately after giving spinal anesthesia. For the next 20 minutes, systolic blood pressure (SBP), diastolic blood pressure (DSP), mean arterial pressure (MAP), and heart rate (HR) were recorded every 2 minutes, and APGAR scores at 1 and 5 minutes were recorded. Results: There was no difference between the two groups in terms of preventing hypotension, with 16.6% in Group A and 16.6% in Group B. In the first 2–6 minutes, however, the rise in systolic pressure in Group B was higher than in Group A. Group B (46.66 %) had a higher rate of bradycardia than Group A (25 %). Conclusion: Both phenylephrine dosages were equally effective in preventing hypotension following spinal anesthesia. However, Prophylactic bolus dose of phenylephrine 75 mcg was found to be effective for the management of spinal-induced hypotension and should be preferred over 100 mcg which causes significant bradycardia and reactive hypertension.

Sign in / Sign up

Export Citation Format

Share Document