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

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.

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

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.

scholarly journals Anaesthetic Challenge in Undiagnosed Mitral Valvular Disease in Emergency Lower Segment Caesarean Section in a Secondary Level Hospital – A Case Report

2014 ◽  
Vol 9 (1) ◽  
pp. 118-121
Author(s):  
ME Karim ◽  
S Akhter ◽  
MM Yasin
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Heart Diseases ◽  
Indian Subcontinent ◽  
Secondary Level ◽  
Armed Forces ◽  
Lower Segment ◽  
Medical College ◽  
Lower Segment Caesarean Section ◽  
Level Hospital

Although the incidence of Rheumatic Mitral Stenosis is grossly reduced in Indian subcontinent, it occupies a greater segment among heart diseases complicating pregnancy. A 25 years old lady, who was not known as a case of valvular heart disease, was admitted in a secondary level hospital for emergency lower segment caesarean section. The patient developed severe pulmonary oedema during operation which was managed successfully. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18741 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 118-121

scholarly journals Unexplained apnoea and loss of consciousness during sub arachnoid block for caesarean section

1970 ◽  
Vol 7 (4) ◽  
pp. 419-422
Author(s):  
SP Acharya ◽  
MN Marhatta ◽  
R Amatya
Keyword(s):  
Caesarean Section ◽  
Spinal Anesthesia ◽  
Anaesthetic Agent ◽  
Case Reports ◽  
Loss Of Consciousness ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Transient Loss ◽  
Bag And Mask Ventilation ◽  
Key Words Apnoea

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

scholarly journals Outcome of Primigravida with high foetal head at term or onset of labour

2018 ◽  
Vol 26 (2) ◽  
pp. 122-125
Author(s):  
Mukti Rani Saha ◽  
Nahid Yasmin ◽  
Afzalunnessa Chowdhury ◽  
Shahrin Ahmed ◽  
Kamrunnahar Sweety ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Mode Of Delivery ◽  
Foetal Distress ◽  
Lower Segment ◽  
College Hospital ◽  
Abdominal Ultrasonography ◽  
Cephalopelvic Disproportion ◽  
Foetal Head ◽  
Medical College ◽  
Lower Segment Caesarean Section

Objective: To determine the causes of high foetal head and their relative frequencies in primigravidae presenting at term and to determine the proportion of these patients undergoing lower segment caesarean section or vaginal delivery. Design: A descriptive study.Place and duration of study: The study was carried out at Mugda Medical College Hospital from March 2017 to June 2017.Materials and Methods: A total of 50 primigravidae patients presenting at term and having a single pregnancy were randomly selected. On the basis of history, Physical examination and abdominal ultrasonography, patients having a high foetal head were recognized and their causes documented.Results: Out of 50 primigravidae, with high foetal head there was foetal malpresentation 17(34%), Cephalopelvic disproportion 13(26%) , Foetal distress 12(24%). Lower segment caesarian section was the management of choice in more than half of the patients with high foetal head.Conclusions: Foetal malpresentation & Cephalopelvic disproportion were the major cause of high foetal head in this study and lower segment Caesarean section was the mode of delivery in more than half of the patients with high foetal head.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 122-125

scholarly journals Wound infiltration of local anaesthetic after lower segment Caesarean section

Anaesthesia ◽  
1991 ◽  
Vol 46 (5) ◽  
pp. 404-407 ◽  
Author(s):  
T. N. Trotter ◽  
P. Hayes-Gregson ◽  
S. Robinson ◽  
L. Cole ◽  
S. Coley ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Local Anaesthetic ◽  
Lower Segment ◽  
Wound Infiltration ◽  
Lower Segment Caesarean Section
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