Title: Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial

Authors: Sudeep Mohapatra, Sumita Swain, Pratibha Jena

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.138

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

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