Robotics and the Airway Management

Fluid Loading ◽

Time Intervals ◽

Induced Hypotension ◽

Haemodynamic Parameters ◽

Cardiovascular Side Effects ◽

Blinded Study ◽

Background: Maternal hypotension due to spinal anaesthesia in caesarean section is commonly seen. Alongwith fluid loading, phenylephrine is used to manage the hypotension. However, this drug is associated with cardiovascular side effects. Methods: This is a prospective double blinded study which was conducted on 100 term parturients scheduled from elective caesarean section under spinal anaesthesia, randomly assigned into two groups. After spinal anaesthesia patients of group N and P were treated with norepinephrine (5mcg) and phenylephrine (50mcg) respectively as an IV bolus for hypotension. Blood pressure, heart rate, number of bolus doses given, and neonatal APGAR score was noted. Results: Patients of both groups were comparable with respect to haemodynamic parameters (HR, SBP, DBP, AND MAP). Incidence of bradycardia was higher in group P (22%, n=11) compared to group N (14%, n=7). Neonatal APGAR scores at different time intervals were similar in both groups. Conclusion: Intermittent boluses of norepinephrine were effective in the treatment of spinal anaesthesia induced hypotension during caesarean section and can be considered as an alternative to phenylephrine.

A Comparative Study to Evaluate the Effect of Norepinephrine and Phenylephrine in the Treatment of Post Spinal Hypotension for Caesarean Section

Archives of Anesthesia and Critical Care ◽

10.18502/aacc.v8i1.8240 ◽

2022 ◽

Author(s):

Archita Patil ◽

Rashmee Chavan ◽

Shwetha K. Mudalagirigowda ◽

Sravya Adda

Keyword(s):

Caesarean Section ◽

Spinal Anaesthesia ◽

Fluid Loading ◽

Time Intervals ◽

Induced Hypotension ◽

Cardiovascular Side Effects ◽

Blinded Study ◽

Spinal Hypotension ◽

Effect of ketamine on intraoperative nausea and vomiting during elective caesarean section under spinal anaesthesia: A placebo-controlled prospective randomized double blinded study

Egyptian Journal of Anaesthesia ◽

10.1016/j.egja.2012.02.001 ◽

2012 ◽

Vol 28 (2) ◽

pp. 169-174 ◽

Cited By ~ 2

Author(s):

A.M. Shabana ◽

E.S. Nasr ◽

H.E. Moawad

Keyword(s):

Caesarean Section ◽

Spinal Anaesthesia ◽

Nausea And Vomiting ◽

Blinded Study ◽

Prophylactic co-administration of two different bolus doses of norepinephrine in spinal-induced hypotension during caesarean section: A prospective randomized double-blinded study

Journal of Obstetric Anaesthesia and Critical Care ◽

10.4103/joacc.joacc_42_20 ◽

2020 ◽

Vol 10 (2) ◽

pp. 111

Author(s):

Savita Choudhary ◽

Rakesh Dagar ◽

Lalita Jeenger ◽

AnilK Bhiwal ◽

Swapnil Tuteja ◽

...

Keyword(s):

Caesarean Section ◽

Induced Hypotension ◽

Blinded Study ◽

Comparison of efficacy of fentanyl and tramadol as adjuvants to intrathecal hyperbaric bupivacaine 0.5% in elective caesarean section - A prospective randomised double blinded study

MedPulse International Journal of Anesthesology ◽

10.26611/10151012 ◽

2019 ◽

Vol 10 (1) ◽

pp. 06-12

Author(s):

Chilamakuri Kalyani ◽

◽

S N Krishnamoorthy ◽

G Dilip Kumar ◽

◽

...

Keyword(s):

Caesarean Section ◽

Hyperbaric Bupivacaine ◽

Blinded Study ◽

Faculty Opinions recommendation of Randomised double-blinded comparison of phenylephrine vs ephedrine for maintaining blood pressure during spinal anaesthesia for non-elective Caesarean section*.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1136855.593944 ◽

2008 ◽

Author(s):

Simon Howell

Keyword(s):

Blood Pressure ◽

Caesarean Section ◽

Spinal Anaesthesia ◽

Randomised double-blinded comparison of phenylephrine vs ephedrine for maintaining blood pressure during spinal anaesthesia for non-elective Caesarean section*

Anaesthesia ◽

10.1111/j.1365-2044.2008.05635.x ◽

2008 ◽

Vol 63 (12) ◽

pp. 1319-1326 ◽

Cited By ~ 84

Author(s):

W. D. Ngan Kee ◽

K. S. Khaw ◽

T. K. Lau ◽

F. F. Ng ◽

K. Chui ◽

...

Keyword(s):

Blood Pressure ◽

Caesarean Section ◽

Spinal Anaesthesia ◽

Faculty Opinions recommendation of Randomised double-blinded comparison of phenylephrine vs ephedrine for maintaining blood pressure during spinal anaesthesia for non-elective Caesarean section*.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1136855.592991 ◽

2008 ◽

Author(s):

Roshan Fernando

Keyword(s):

Blood Pressure ◽

Caesarean Section ◽

Spinal Anaesthesia ◽

Randomised double-blinded comparison of phenylephrine vs ephedrine for maintaining blood pressure during spinal anaesthesia for non-elective Caesarean section

Yearbook of Anesthesiology and Pain Management ◽

10.1016/s1073-5437(09)79269-1 ◽

2010 ◽

Vol 2010 ◽

pp. 301-302

Author(s):

D.H. Chestnut

Keyword(s):

Blood Pressure ◽

Caesarean Section ◽

Spinal Anaesthesia ◽

Maternal and anaesthesia-related risk factors and incidence of spinal anaesthesia-induced hypotension in elective caesarean section: A multinomial logistic regression

Indian Journal of Anaesthesia ◽

10.4103/ija.ija_416_17 ◽

2018 ◽

Vol 62 (1) ◽

pp. 36 ◽

Cited By ~ 2

Author(s):

Haleh Ghaem ◽

Atousa Fakherpour ◽

Zeinabsadat Fattahi ◽

Samaneh Zaree

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Caesarean Section ◽

Spinal Anaesthesia ◽

Multinomial Logistic Regression ◽

Induced Hypotension ◽

Related Risk

TO COMPARE THE NEED FOR INTRAVENOUS VASOPRESSOR (RESCUE) THERAPY FOR TREATING SPINAL ANAESTHESIA INDUCED HYPOTENSION AMONG PHENYLEPHRINE, EPHEDRINE AND CONTROL GROUPS.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i5.1135 ◽

2020 ◽

Vol 4 (5) ◽

Author(s):

Utsav Sharma ◽

Kunwar Singh Thakur ◽

Preeti Goyal ◽

Bhanu Choudhary

Keyword(s):

Caesarean Section ◽

Spinal Anaesthesia ◽

Rescue Therapy ◽

Control Group ◽

Control Groups ◽

Induced Hypotension ◽

Medical College ◽

And Control

The study was undertaken in the Department of Anaesthesiology, Gajra Raja Medical College, Gwalior. The study included 90 patients (age 20-35 years) undergoing elective caesarean section under spinal anaesthesia. Maximum hypotension was observed in control group. As compared to the control group, incidence of hypotension was significantly less in phenylephrine group as well as ephedrine group. Also comparing ephedrine and phenylephrine groups, although incidence of hypotension was low in phenylephrine group but it was not found to be significant. The incidence of hypotension was significantly low in phenylephrine group (p=0.000) and ephedrine group (p=0.005). But when phenylephrine and ephedrine groups were compared, although incidence of hypotension was low in phenylephrine group but it was not found to be significant (p=0.869). Keywords: Intravenous Vasopressor, Spinal Anaesthesia, Hypotension & Phenylephrine.