A study to evaluate hemodynamic effects of lateral and sitting position during induction of spinal anesthesia for lower segment caesarean section

Sub arachnoid block (SAB) is often perceived safe by many anesthesiologists and other faculties but is also not completely safe choice especially in pregnant females, as the incidence of complications and local anaesthetic agent toxicity is high in these groups of patients. Here we present four such cases out of the seventeen patients over a period of six months, who developed apnoea and transient loss of consciousness after spinal anesthesia for lower segment caesarean section. Typically all these patients after spinal anesthesia developed difficulty in breathing, became apnoea and had loss of consciousness for about a minute or two. The apnoea was relieved with bag and mask ventilation following which the patient regained consciousness and start breathing normally. The rest of the procedure was uneventful. We presented these cases with aim of sharing similar experiences, and to aware about the possibility of such events as these events do occur frequently but case reports and literatures are unavailable. Key words: Apnoea; loss of consciousness; lower segment caesarean section (LSCS); Sub arachnoid block (SAB). DOI: 10.3126/kumj.v7i4.2766 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 419-422

Download Full-text

TO OBSERVE THE EFFECT OF ORAL GABAPENTIN, THEOPHYLLINE AND CAFFEINE ON SBP, DBP, MAP AND HR.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i12.829 ◽

2019 ◽

Vol 3 (12) ◽

Author(s):

Kunwar Singh Thakur ◽

Rahul Meda

Keyword(s):

Informed Consent ◽

Caesarean Section ◽

Spinal Anesthesia ◽

Ethics Committee ◽

Lower Segment ◽

Medical College ◽

Lower Segment Caesarean Section ◽

Haemodynamic Parameters ◽

Institutional Ethics ◽

Written Informed Consent

After obtaining approval from institutional ethics committee, and written informed consent, the present study entitled "To Observe the Effect of Oral Gabapentin, Theophylline and Caffeine on SBP, DBP, MAP and HR" was conducted on 120 patients of ASA grade I &II scheduled for elective and emergency lower segment caesarean section under spinal anesthesia in the Department of Anesthesiology, J.A. Group of Hospitals & G.R. Medical College, Gwalior (M.P.) after getting written informed consent from the patients. No significant effects on haemodynamic parameters were observed with all the study drugs. Recurrence of PDPH was significantly high with caffeine treatment. No serious untoward effects or complications of study drugs were observed in the study. Keywords: Oral Gabapentin, Theophylline, Caffeine, SBP, DBP, MAP & HR.

Download Full-text

Prevention of altered hemodynamics after spinal anesthesia: A comparison of volume preloading with tetrastarch, succinylated gelatin and ringer lactate solution for the patients undergoing lower segment caesarean section

Saudi Journal of Anaesthesia ◽

10.4103/1658-354x.140817 ◽

2014 ◽

Vol 8 (4) ◽

pp. 456 ◽

Cited By ~ 5

Author(s):

Anjan Das ◽

Tapas Bhattacharyya ◽

Tapobrata Mitra ◽

Saikat Majumdar ◽

RahulDeb Mandal ◽

...

Keyword(s):

Caesarean Section ◽

Spinal Anesthesia ◽

Ringer Lactate ◽

Lower Segment ◽

Lower Segment Caesarean Section ◽

Lactate Solution

Download Full-text

Frequency of spinal hypotension in patients undergoing elective lower segment caesarean section using preoperative preload and intramuscular ephedrine.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.06.4372 ◽

2020 ◽

Vol 27 (06) ◽

pp. 1275-1279

Author(s):

Shumyala Maqbool ◽

Mohsin Riaz Askri ◽

Sahir Shafique ◽

Kausar Abbas Shah

Keyword(s):

Caesarean Section ◽

Spinal Anesthesia ◽

Cross Sectional Study ◽

Lower Segment ◽

Cross Sectional ◽

Medical College ◽

Lower Segment Caesarean Section ◽

Group Frequency ◽

Low Incidence ◽

Spinal Hypotension

Objectives: To observe the frequency of spinal hypotension in patients undergoing Elective Lower Segment Caesarean Section receiving pre-operative preload compared with intramuscular ephedrine. Study Design: Cross Sectional study. Setting: Department of Anesthesia, Independent Medical College, Faisalabad. Period: July 1st 2018 to December 31st 2018. Material & Methods: This study included fifty-two female patients, aged 20-35 years, undergoing elective C/section under spinal anesthesia with ASA physical status I & II, pre-operatively preloaded and given prophylactic intramuscular ephedrine. Hemodynamic changes were recorded in both groups after receiving spinal anesthesia. Results: Compared with the prophylactic ephedrine group, frequency of Post spinal hypotension was higher significantly in pre-load group (p=0.019). Conclusion: It has been concluded that there is the use of prophylactic intra muscular ephedrine is associated with low incidence of post spinal hypotension.

Download Full-text