PARTURIENTS WITH SEVERE PREECLAMPSIA EXPERIENCE LESS HYPOTENTION DURING SPINAL ANAESTHESIA FOR ELECTIVE CESAREAN DELIVERY THAN NORMOTENSIVE PARTURIENTS A PROSPECTIVE RANDOMIZED CONTROL TRIAL.
- Associate professor, Department of Anesthesia, Datta Meghe Institute of Medical Science, Sawangi (Meghe), Wardha.
- PG student, Department of Anesthesia, Datta Meghe Institute of Medical Science, Sawangi (Meghe), Wardha.
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Abstract
Introduction: Spinal anaesthesia is a form of regional anaesthesia which involves injection of local anaesthetic into subarachnoid space. Many severely preeclamptic parturients require cesarean delivery where spinal anaesthesia can be given.
Methods: Aim of study was to compare and evaluate onset and duration of sensory and motor block and heamodynamic effect of inj .bupivacaine 0.5%( heavy) in severe preeclampsia parturients posted for cesarean delivery than healthy parturients.
Material and method: After approval from ethical committee ,100 patients were selected in age group of 20-30 with weight between 60 -90 kg undergoing cesarean delivery.
Results: Parturients with severe preeclampsia experienced less hypotention and more stable heamodynamics, during spinal anaesthesia who were posted for elective cesarean delivery than normotensive parturients.
Conclusion: Parturients with severe preeclampsia who are posted for elective cesarean delivery can be given spinal anaesthesia which will cause less hypotension and more stable heamodynamics.
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How to Cite This Article
Karuna Taksande and Pallavi Deulkar. (2017); PARTURIENTS WITH SEVERE PREECLAMPSIA EXPERIENCE LESS HYPOTENTION DURING SPINAL ANAESTHESIA FOR ELECTIVE CESAREAN DELIVERY THAN NORMOTENSIVE PARTURIENTS A PROSPECTIVE RANDOMIZED CONTROL TRIAL., International Journal of Advanced Research (IJAR), 5 (12), 426-431, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/5976
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References
- Hemodynamic Effects of Spinal Anesthesia for Cesarean Section are Equivalent in Severely Preeclamptic and Healthy Parturients. Florentino Fernandes Mendes*, Gustavo Hennemann, Ana Luft, Carlos Farias and Sheila Braga.
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- Santos AC, Birnbach DJ (2003) Spinal anesthesia in the parturient with severe preeclampsia: time for reconsideration. Anesth Analg 97: 621-623
- Aya AG, Vialles N, Tanoubi I, Mangin R, Ferrer JM, et al. (2005) Spinal anesthesia-induced hypotension: A risk comparison between patients with severe preeclampsia and healthy women undergoing preterm cesarean delivery. Anesth Analg 101: 869-875.
- Dyer RA, Piercy JL, Reed AR, Lombard CJ, Schoeman LK, et al. (2008) Hemodynamic changes associated with spinal anesthesia for cesarean delivery in severe preeclampsia. Anesthesiology 108: 802-811.
- Jouppila P, Jouppila R, Hollmen A, Koivula A (1982) Lumbar epidural analgesia to improve intervillous blood flow during labor in severe preeclampsia. Obstet Gynecol 59: 158-161.
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