Comparison of Pelvic and Lumbar Wedges in Prevention of Hypotension in Patients Undergoing Caesarean Section Under Subarachnoid Block
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 4
Abstract
A major cause of maternal hypotension during caesarean section is aorto caval compression.A randomised controlled trial was done to compare the effectiveness of tilt using wedges in the pelvic and lumbar regions for preventing hypotension following spinal anaesthesia for caesarean section. 60 parturients undergoing caesarean section were randomly assigned to 2 different wedged positions. After completion of the subarachnoid injecton, patient was placed with either a wedge under the right lumbar region [group 1, lumbar wedge], or under the right pelvis[group 2,pelvic wedge]. Systolic,diastolic and mean blood pressures and heart rate were recorded every 2 minutes after the subarachnoid block for the first 20 mts,thereafter15 mts till the end of surgery. Fall of Systolic blood pressure < 90 mm hg was treated with inj ephedrine 6 mg i.v. The obtained values were tested statistically using the students t test and chi square test. The incidence of hypotension was significantly higher in the pelvic group [25/30] than the lumbar group[6/30].Heart rate did not change significantly in either group.A lumbar wedge is more effective than a pelvic wedge in preventing hypotension following spinal anaesthesia for caesarean section.
Authors and Affiliations
Ashok Kulasekhar
Keywords
Related Articles
- EP ID EP211343
- DOI -
- Views 33
- Downloads 0
PET scan Misleads to Diagnosis but Leads to Correct Operative Approach
A 67 year old female presented with high grade fever and abdominal pain since one week. Pain in abdomen was predominantly in the left lumbar region. She also had anorexia and weight loss. Patient had diabetes mellitus si...
To Study Clinical Profile and Complications of Plasmodium Vivax Malaria
Malaria is caused by Plasmodium parasites. It is a protozoan disease transmitted by the bite of infected Anopheles mosquitoes called "malaria vectors.” Out of the five parasite species that cause malaria in humans, 2 of...
Prevalance of Cognitive Dysfunction in Elderly Patients Attending a Tertiary Care Teaching Hospital in Puducherry
Elderly population are one of the most vulnerable and major age group of individuals in our population. The rising rate of cognitive diseases such as Alzheimer’s disease, senile dementia and other psychiatric ailments am...
Outcome of Stainless Steel Proximal Femoral Nailing in Inter-Trochanteric Fractures of Femur
Inter-trochanteric fractures of the femur are commonly seen in the elderly. Surgical fixation of these fractures significantly reduces the morbidity and mortality in the elderly by avoiding complications arising out of p...
Anatomical Variations of Coeliac Axis and Common Hepatic ArterySystematic Analysis of Multi detector Computed Tomography Images
Purpose: The study was conducted to identify and evaluate the spectrum of anatomical variations of the coeliac axis (CA) and common hepatic artery(CHA) seen in multi detector computed tomography (MDCT) images . Materials...