Investigation of effect of blood pressure and heart rate changes in different positions (lying and sitting) on hypotension incidence rate after spinal anesthesia in patients undergoing caesarean section
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 7
Abstract
Due to the relatively high prevalence of hypotension (20% -40%) after spinal anesthesia as well as the adverse effects of hypotension on mother and baby, it is better to prevent hypotension as much as possible. Therefore, this study is aimed to determine the relationship between postural blood pressure and heart rate changes and hypotension incidence rate after spinal anesthesia in cesarean section.63 women aging18 to 45years old with fullterm pregnancy, who were candidate for caesarean section with spinal anesthesia, entered the study. Afterwards, the diastolic, systolic, and mean arterial pressures as well as the heart rate (pulse) in different positions (sitting, lying, and left lateral) were measured. After spinal anesthesia, the patients' blood pressure was measured and recorded every minute until the10thmin, then every 3 minute until the15thmin, and then every 5 minute until the end of cesarean section. Data analysis was performed using SPSS (ver. 19) software, descriptive statistics, one-way ANOVA, and post hoc Bonferroni test. In this study, the hypotension incidence rate was 30% and the orthostatic variation rate of the systolic blood pressure in more than half of the people was between 4.39 to 13.49psi, which showed the highest variation compared to the diastolic pressure, mean arterial blood pressure (or: mean arterial pressure [MAP]), and heart(pulse). Considering the correlation coefficient of 0.27, the systolic blood pressure in the lateral position has the highest relationship with the incidence of hypotension. The postural systolic blood pressure changes in patients prior to the spinal anesthesia can be a predictive factor for the post-spinal hypotension incidence.
Authors and Affiliations
Nahid Manouchehrian| Associate Professor, Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, IranCorresponding Email:manuchehriann@gmail.com, Farahnaz Torabi| Student School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran, Arezoo Shayan| Instructor of Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran, Marziyeh otogara| PhD student, Health education and health promotion, Department of Public Health, Health Sciences
Keywords
Related Articles
- EP ID EP11844
- DOI -
- Views 237
- Downloads 12
A DESCRIPTIVE STUDY ON PREVALENCE OF BACTERIAL PATHOGENS IN DIABETIC ULCER AND INTERVENTIONAL COMPONENT FOR THE PREVENTION OF FOOT ULCERS
Diabetes is considered to have reached epidemic proportions worldwide. The most distressing complication of diabetes is foot ulcer and is the major cause of lower limb amputation. Hence, they require a prolonged hospita...
EFFECT OF PACLITAXEL ALONG WITH DI ALLYL SULFIDE ON IMMUNO COMPETENT CELLS, IMMUNE COMPLEXES AND IMMUNOGLOBULINS CHANGES IN 7,12 DI METHYL BENZ(A) ANTHRACENE INDUCED SKIN CANCER IN WISTAR RATS
Our recent studies have shown that naturally occurring dietary organo sulfure compounds such as di allyl sulfide and paclitaxel are capable of inhibiting polycyclic aromatic hydrocarbon (PAH) metabolism and subsequent P...
BILATERAL OBJECT EXPLORATION TRAINING TO IMPROVE THE HAND FUNCTION IN STROKE SUBJECTS
Recovery of upper extremity sensory and motor function is still one of the complicated and an under achieved task in rehabilitation of the stroke subjects. We believed that object exploration training could play a role...
ANTICANCER EFFECTS OF CARICA PAPAYA IN EXPERIMENTAL INDUCED MAMMARY TUMORS IN RATS
Objective: To evaluate the anticancer effect of Carica papaya in DMBA induced mammary tumors in rats. Methods: Wistar rats were divided in to five groups (n=6), Group-I (Normal control) administered vehicle olive oil,...
Simultaneous Detection of Methicillin- and Mupirocin-Resistant genes in Staphylococcus aureus Isolated with Multiplex PCR from Patients in the City of Darab, Fars Province, Iran
Background and Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most important pathogens in hospitals. Hospital staffs can be one of the main sources of this organism in nosocomial infections...