To Study the Hemodynamic Changes after Leg Wrapping In Elective Cesarean Section under Spinal Anesthesia
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 11
Abstract
Background & Aim: Spinal anesthesia is commonly used for cesarean section, but it is usually associated with side effects like hypotension, which may be detrimental to mother and baby. Over past few years, many pharmacological interventions have been tried to prevent hypotension, but no single technique has proven to be ideal. This study was carried out with the aim to find whether wrapping the legs with elastic crepe bandage in addition to conventional approach was effective in preventing hypotension due to spinal anesthesia. Method: A total of 60 full-term patients with an uncomplicated pregnancy belonging to American Society of Anesthesiologists I or II were allocated randomly (30 in each group) to have their legs wrapped with elastic crepe bandage (Group A) or no wrapping(Group B). All patients were administered intravenous (IV) crystalloid (20 ml/kg) 15-20 min prior to spinal anesthesia. Electrocardiography and oxygen saturation was monitored continuously and heart rate, blood pressure was measured every 2 min until delivery of baby and every 5 min thereafter until end of surgery. Hypotension was treated with IV phenylephrine 50 µg. Results: The incidence of hypotension was significantly less (P = 0.002) in Group A (legs wrapped group) when compared with Group B (non leg wrapped). In Group A 3 (10%) patients and in Group B 15(50%) patients required rescue dose with phenylephrine which was statistically significant (P = 0.004). Difference in the systolic, diastolic and mean arterial pressure between Group A and B was recorded and found significant between 4 to 15 min after spinal anesthesia. Conclusion: There was less incidence of hypotension due to wrapping of legs with elastic crepe bandage with a subsequent reduction in the requirement of of phenylephrine. Leg wrapping with crepe bandage is cheap, easy, readily available, noninvasive, and non pharmacological and most important it had least effect on baby. So leg wrapping can be recommended for preventing hypotension in spinal anesthesia.
Authors and Affiliations
Dr Amit Pradhan
Keywords
Related Articles
- EP ID EP214801
- DOI -
- Views 105
- Downloads 0
Comparision of Clinical Trial Application Approval Process with different countries guidelines
Background: Clinical trial is vital step in the development of new and safe medicine & in the improving medical treatment. Clinical trial explore how a treatment reacts in the human body and are designated to ensure a dr...
A Prospective Study and Clinical Trial Comparing Modified Limberg Transposition Flap Reconstruction with Excision and Primary Closure in the Treatment of Uncomplicated Sacrococcygeal Pilonidal Sinus
Aim: The aim of this study was to compare surgical procedures for treatment of uncomplicated pilonidal disease between modified Limberg flap procedure with excision and primary closure. Study Design: Prospective study. P...
Study of Inflammatory Markers in Sputum Positive Patients of Pulmonary Tuberculosis and its Response to Anti-tubercular Treatment
Studies have shown that active tuberculosis is associated with elevated systemic inflammatory markers like ESR, CRP, IL-6, SAA, TNF-a, IFN-γ and many others. We aim to evaluate the serum levels of serum CRP and IFN-γ in...
Renal parenchyma have most common Incidental histopathological finding of medicolegal post mortem autopsy Study
Objective & Aims: 1.Identify undiagnosed histopathology changes in autopsy medicolegal cases. 2. useful in cases of undiagnosed cases or suspected cases to confirm the diagnosis in postmortem finding. 3. There is involve...
Technical Issues of Blood Pressure Measurement and Its Impact
Diagnosis of hypertension is based on bolod pressure (BP) measurements with a sphygmomanometer. BP levels of 140/ 90 mm Hg and higher are arbitrarily considered hypertensive, where as BP levels of 139/89 mmHg or less are...