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Category: Volume 07 Issue 03 March 2019
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Title: Management of hypotension during spinal anesthesia in pregnant patients using crystalloids and colloids without using any inotropes and vasoconstrictors

Authors: Javid Ahmad Dar, Abdul Hakeem, Ubaid Ullah Gul Salmani, Zahoor Ahmad Bhat

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.217

Abstract

Background: Prevention of hypotension during spinal anesthesia for cesarean section avoids maternal and fetal side effects. The aim of this study was Management of hypotension during spinal anesthesia in pregnant patients using crystalloids and colloids without using any inotropes and vasoconstrictors.  Materials and Methods: In this prospective  observational study 70 full term pregnant women aged between 20 to 30 years for elective lower segment caesarean section belonging to ASA-I and II class  were randomly allocated equally to one of (CR Group) crystalloid or (CL Group) colloid groups.

Results: Hypotension occurred in the crystalloid Group, 51.4% compared with 28.5% in the colloid Group and the statistical difference between two groups was significant (P = 0.005). The incidence of nausea was %11.42 (04 patients) in crystalloid group vs % 17.14 (6 patients) in colloid group. 

Conclusion: In conclusion, Prophylactic prehydration with colloid was more effective than prehydration with crystalloid for preventing hypotension in healthy parturient undergoing spinal anesthesia for elective cesarean delivery.

Keywords: Cesarean delivery, hypotension, spinal anesthesia, prehydration, crystalloids and colloids.

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Corresponding Author

Dr. Javid Ahmad Dar

Resident, Department of Anesthesiology & Critical Care, Govt. Medical College, Srinagar 190010