Change of Positional Blood Pressure and Indication of Ephedrine in Hypotension During Spinal Anesthesia for Cesarean Delivery

DOI: https://doi.org/10.47648/jmsr.2013.v2102.03

Matin Md. A1 , Banu J2 , Sultana K3 , Shahana S M4

Abstract

Hypotension during spinal anaesthesia for caesarean section remains a common scenario in clinical practice. Certain risk factors play a role in altering the incidence of hypotension. A cross sectional observational study was done on sixty patients undergone cesarean delivery spinal anesthesia in Holy Family Red Crescent Medical College Hospital to evaluate the correlation between pre-anesthetic change of positional blood pressure and predictive necessity of Ephedrine to mange per-operative hypotension. The mean age of the patients included in the study was 25.85 ± 4.24 years and weighted 63.60 ± 6.91 kg (Mean ± sco. The haemodynamic outcomes of the patients are summarized in Table-I as mean systolic blood pressure increased (118 ± 12.02 and 132 ± 14.11 mm of Hg) after change of position from baseline (supine position) to right lateral position. The positional blood pressure varied from 2 to 32 mm of Hg and was observed in 54 patients. But only 35 patients were hypotensive (58.33%) after spinal anesthesia among them only 28 patients required Ephedrine (46.6%). But there was no significant correlation was observed in patients needed Ephedrine who hypotension but not obvious with positional change of pre-anesthetic blood pressure.

Keywords:


  1. Professor (cc), Department of Anesthesiology

    Holy Family Red Crescent Medical College, Dhaka

  2. Associate Professor, Department of Obstetrics and Gynaecology

    Bangabandhu Sheikh Mujib Medical University, Dhaka

  3. Associate Professor, Department of Obstetrics and Gynaecology

    Holy Family Red Crescent Medical College, Dhaka

  4. Registrar, Department of Radiology and Imaging

    Holy Family Red Crescent Medical College, Dhaka


Volume 21, Number 2 July 2013
Page: 18-23