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- Title
COMPARISON OF THE HEMODYNAMIC EFFECTS OF LATERAL AND SITTING POSITIONS DURING INDUCTION OF SPINAL ANAESTHESIA FOR CAESAREAN SECTION USING HYPERBARIC BUPIVACAINE.
- Authors
Ali, Muhammad; Sharif, Asjad; Naqvi, Ehtesham Haider
- Abstract
Objective: To compare the frequency of hypotension of sitting versus lateral position during induction of spinal anesthesia for elective LSCS using Hyperbaric Bupivacaine. Study Design: Randomized control trial. Place and Duration of Study: The study was conducted at Military Hospital Rawalpindi, a tertiary care hospital, after seeking hospital ethics committee permission. Study was carried out for six months, from Nov 2014 to May 2015. Patient and Methods: A total of 130 participants achieving the inclusion criteria were picked up for this study. Patients were randomized into group-S and group-L (65 in each group). Group-S received spinal anesthesia using 0.75% hyperbaric Bupivacaine in sitting position and group-L in left lateral position. Maternal Blood pressure was measured before Induction (baseline) and every 3 min after subarachnoid injection for 15 min and final outcome measured at 15 minutes. Decrease in systolic blood pressure of >20% from baseline or a value <90 mmHg was considered as hypotension. Results: The age of the patients ranged between 25-35 years. Average age of participants were 29.18 ± 2.80 and 29.12 ± 2.52 in group S & L, respectively. In group-S hypotension developed in 34 patients (52.3%) and in group-L hypotension was observed in 20 patients (30.7%), (p=0.013). Mean weight in group-S was 71.77 ± 2.82 and in group-L was 70.91 ± 2.05. Stratification with regard to age and ASA status was carried out. Conclusion: Occurrence of Hypotension was significantly less frequent when spinal anesthesia was induced to patients in the left lateral position, for elective caesarean using 0.75% Hyperbaric Bupivacaine compared to the sitting position.
- Subjects
SPINAL anesthesia; SITTING position; HEMODYNAMICS; CESAREAN section; HYPERBARIC oxygenation; HYPOTENSION; RANDOMIZED controlled trials
- Publication
Pakistan Armed Forces Medical Journal, 2018, Vol 68, Issue 1, p45
- ISSN
0030-9648
- Publication type
Article