EFFECTS OF PRELOADING, CO LOADING AND CO LOADING WITH VASOPRESSORS IN THE MANAGEMENT OF HYPOTENSION IN PARTURIENTS AFTER SPINAL ANAESTHESIA

DR RAVI B; DR SARANYA RAVI

Volume : V, Issue : XI, November - 2016

EFFECTS OF PRELOADING, CO LOADING AND CO LOADING WITH VASOPRESSORS IN THE MANAGEMENT OF HYPOTENSION IN PARTURIENTS AFTER SPINAL ANAESTHESIA

Dr Ravi B, Dr Saranya Ravi

Abstract :

It is a well known fact that pregnant ladies tend to develop severe hypotension (less than 90mmHg systolic or more than 20% drop from baseline BP) after spinal anaesthesia for caesarean section surgeries, which is very deleterious both to the mother and fetus and must be treated with urgency. Keeping a wedge of 10 cms under the right buttock for left uterine tilt, to some extent only helps in reducing hypotension. In this study, we used crystalloids and vaso pressors to treat the severe hypotension that occurs in almost 60 -70 % pregnant cases. We tried preloading , coloading with crystalloids (RL/NS) and coloading with crystalloids and vasopressor ephedrine to find the efficacy of each in managing the severe hypotension for better maternal and fetal outcomes. We observed that co loading with crystalloids and use of vasopressor ephedrine is the best method in managing the hypotension.