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

  • Shumyala Maqbool Independent Medical College, Faisalabad.
  • Mohsin Riaz Askri Faisalabad Medical University/ Allied Hospital, Faisalabad.
  • Sahir Shafique Children Hospital/ The Institute of Child Health Faisalabad.
  • Kausar Abbas Shah Zaibi Eye Complex Makkah, Saudi Arabia.
Keywords: Anesthesia, Cesarean Sections, Obstetric, Postoperative, Post Spinal Hypotension, Spinal

Abstract

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.

Author Biographies

Shumyala Maqbool, Independent Medical College, Faisalabad.

MBBS, FCPS

Assistant Professor Anesthesia

Mohsin Riaz Askri, Faisalabad Medical University/ Allied Hospital, Faisalabad.

MBBS, FCPS

Assistant Professor Anesthesia

Sahir Shafique, Children Hospital/ The Institute of Child Health Faisalabad.

MBBS, FCPS

Assistant Professor Anesthesia

Kausar Abbas Shah, Zaibi Eye Complex Makkah, Saudi Arabia.

MBBS, FCPS

Consultant Anesthesia

Published
2020-06-10