Abstract
Background: Maternal hypotension is a typical confusion after spinal anesthesia for cesarean segment (CS). In this examination we researched the job of leg height (LE) as a strategy for counteractive action of post-spinal hypotension (PSH) for cesarean segment.
Materials and Methods: An aggregate of 60 full-term parturients with an uncomplicated pregnancy having a place with American Society of Anesthesiologists I or II were allotted haphazardly (30 in each gathering) to have their legs raised after spinal anesthesia is given. All patients got intravenous (IV) crystalloid (20 ml/kg) 15 min preceding spinal infusion and were set in left sidelong position. Electrocardiography and oxygen immersion was observed
Ceaselessly and pulse, circulatory strain was estimated each 2 min until conveyance of child and each 5 min from there on until end of cesarean segment. Critical hypotension was treated with IV phenylephrine 50 μg bolus dosages.
Results: There was factually noteworthy contrast in level of hypotension found between the two gatherings. Rate of hypotension in Group A (leg wrapped) is 10% where as in gathering B (leg not wrapped) is 66.66%..
Conclusions: Height of lower furthest points was a basic, simple, and a successful strategy for diminishing scenes of hypotension and vasopressor necessity after spinal anesthesia in cesarean patients and should be polished routinely
Keywords: Caesarean section, leg elevation, spinal anaesthesia.
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Corresponding Author
Dr Sumita Swain
Assistant Professor, Department of Anesthesiology, Institute of Medical Sciences & SUM Hospital, SOA Deemed to be University, Bhubaneswar, Odisha-751003, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.138
