A COMPARISON OF THE HEMODYNAMIC EFFECTS OF LATERAL AND SITTING POSITIONS DURING INDUCTION OF SPINAL ANAESTHESIA FOR CESAREAN SECTION

Vasukinathan Arokyamuthu; Edward Johnson Joseph

Volume : V, Issue : IV, April - 2016

A COMPARISON OF THE HEMODYNAMIC EFFECTS OF LATERAL AND SITTING POSITIONS DURING INDUCTION OF SPINAL ANAESTHESIA FOR CESAREAN SECTION

Vasukinathan Arokyamuthu, Edward Johnson Joseph

Abstract :

<p>&nbsp;Objective: To compare the hemodynamic effects in patients who are given spinal anaesthesia in lateral and sitting positions during cesarean section Methods: 100 ASA II pregnant patients posted for elective Lower Segment Cesarean Section were randomly assigned to receive spinal anesthesia in either lateral position (Group 1) or sitting postion (Group 2). All patients received intrathecal 0.5% Hyperbaric Bupivacaine 10 mg in L3-L4 interspace, after which they were placed immediately in the supine position with left uterine displacement. Vital parameters were measured preoperatively, immediately after administration of spinal anaesthesia, and thereafter, every minute for 10 min, every three min for 20 min, and every 5 minutes thereafter. Results: The incidence of hypotension was higher in the Sitting Group compared to the Lateral Group, though not statistically significant. Onset of hypotension was similar between the two groups. The lowest recorded systolic blood pressure was lower in the sitting group compared to lateral group. Fall of diastolic blood pressure from baseline was more in the sitting group. Ephedrine usage was higher in the sitting group, though not statistically significant. Conclusion: There is no statistical difference in incidence of hypotension between sitting and lateral groups</p>