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

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 1^st 2018 to December 31^st 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.