Combined Use of Low-dose Bupivacaine, Colloid Preload and Wrapping of the Legs for Preventing Hypotension in Spinal Anaesthesia for Caesarean Section  

Oleh:

Kaya, S. ; Karaman, H. ; Erdogan, H. ; Akyilmaz, A. ; Turhanoglu, S.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of International Medical Research vol. 35 no. 05 (Sep. 2007), page 615-625.
Topik: Bupivacaine; hypotension; spinal anaesthesia; caesarean section

Ketersediaan

Perpustakaan FK Nomor Panggil: J11.K.2007.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

We tested the hypothesis that using a combination of methods would result in a greater reduction in the incidence of hypotension due to spinal anaesthesia in caesarean sections compared with using each method on its own. A total of 120 patients were randomly allocated to the following four treatment groups: 10 mg bupivacaine 0.5% intrathecally plus 500 ml Ringer lactate solution (group B); 4 mg bupivacaine 0.5% plus 25 micrograms fentanyl plus 500 ml Ringer lactate solution (group F); 4 mg bupivacaine 0.5% plus 25 micrograms fentanyl intrathecally plus 500 ml Gelofusine® intravenously (group G); and 4 mg bupivacaine 0.5% plus 25 micrograms fentanyl intrathecally plus 500 ml Gelofusine® intravenously plus tight wrapping of the lower extremities with an Esmarch bandage (group E). The Esmarch bandage was only loosely applied in groups B, F and G. Hypotension was detected in 100% of the patients in group B compared with 70.0%, 46.7% and 23.3% of those in groups F, G and E, respectively. Hypotension was thus reduced by using a combination of several methods.

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