A Comparative Study on Prevention of Hypotension after Spinal Anaesthesia in Hysterectomy Cases: Crystalloid (Ringer Lactate Solution) versus Colloid (Haestryl 6%)
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 12
Abstract
Background: Different strategies have been attempted to prevent spinal –induced hypotension. Prophylactic measures include pre-hydration with crystalloid or colloid or administration of vasoactie agents. Study compared two methods i.e. crystalloid & Colloid group for reducing hypotension during spinal anaesthesia in hysterectomy patients. Method: Prospective randomized controlled study carried out at anaesthesia department during the period of six months. 60 patients scheduled for elective hysterectomy under spinal anaesthesia included for the study purpose. Cases were randomly divided into two groups i.e. Crystalloid group and colloid .Age, height and weight characteristic were comparable between two group. Mean pulse rate and SBP recorded at intervals. All data entered and analyzed. Result: The incidence of hypotension was 12 out of 30 (40%) in the crystalloid i.e.RL group and 4 out of 30 (13.3%) in colloid group. Mean SBP with S.D. was 90.0mmhg +9.27 &104 mmhg +6.8 in crystalloid group and colloid group respectively. Conclusion: The incidence of hypotension was significantly lower among the colloid group i.e.6% Haestryl as a preload for spinal induced anaesthesia. Hence colloid can be preferred preload solution in spinal anaesthesia.
Authors and Affiliations
Dr Jaya Dighe
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