A Comparative Study on Therapeutic modalities in the Management of Spinal Anesthesia-Induced Hypotension in Parturient in Cesarean Delivery
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Date
2021-08
Journal Title
Journal ISSN
Volume Title
Publisher
IJHS Medical Association
Abstract
Objective: was to compare the two therapeutic modalities, fluid preloading and ephedrine, in the management of spinal anesthesia-induced hypotension in patients undergoing elective cesarean delivery. Methodology: Following ethical approval from Mayo hospital ethical committee and informed consent from patients study was started in Department of Anaesthesia. Duration of study was one year from November 2016 to October 2017. A total of 90 patients were enrolled through non probability consecutive sampling and randomly divided into two equal groups 45 patients in each. Group F for fluid preload patients and group E for ephedrine receiving patients. Required data was collected on preformed performa. Data information was entered in SPSS version 24 and analyzed for variables. Continuous variables were presented as mean and SD and categorical data was presented as numbers and percentages (%). Independent t-test was applied to see significance of results. P value equal or less than 0.05 was considered as significance. Results: Overall, 90 women were included in this study. The study consisted of two equal groups, 50% in each, i.e. F group and E group respectively. Mean trend of systolic blood pressure was shown in table 2. Higher means were observed in E group than in F group. The difference was statistically significant with regards to groups (P < 0.05). The mean trend of heart rate was shown in table 3. Higher means heart rates were observed in the E group as compare to the F group. The differences were statistically significant with regards to groups (P < 0.05). Conclusion: Results of our study revealed that use of ephedrine is superior to that of fluid preloading in managing hypotension after spinal anesthesia in cesarean section deliveries.
Description
Keywords
spinal anesthesia, cesarean section, fluid preloading, ephedrine, hypotension.
Citation
Ismail Muhammad Fahad, Altaf Ayesha, Ahmad Asad. A Comparative Study on Therapeutic modalities in the Management of Spinal Anesthesia-Induced Hypotension in Parturient in Cesarean Delivery. IJHS Medical Association . 2021 Aug; 8(4): 5-10