HEMODYNAMIC RESPONSE AND VASOPRESSOR REQUIREMENT AFTER SPINAL ANESTHESIA IN PREECLAMPTIC AND NON–PREECLAMPTIC PATIENTS UNDERGOING CAESERIAN SECTION: A PROSPECTIVE COMPARATIVE STUDY

Dr. Bhushan Lohokare; Dr. Tejaswini Jambotkar; Dr. Hema Gupta

Volume : IX, Issue : III, March - 2020

HEMODYNAMIC RESPONSE AND VASOPRESSOR REQUIREMENT AFTER SPINAL ANESTHESIA IN PREECLAMPTIC AND NON–PREECLAMPTIC PATIENTS UNDERGOING CAESERIAN SECTION: A PROSPECTIVE COMPARATIVE STUDY

Dr. Bhushan Lohokare, Dr. Tejaswini Jambotkar, Dr. Hema Gupta

Abstract :

Introduction: Risk benefit analysis favours spinal anesthesia over general anesthesia in pregnant patients undergoing caesarean section. Hypotension is a known complication after spinal anesthesia. However, it is short lived and easily treatable. The aim of this study is to evaluate and compare hemodynamic response in healthy and preeclamptic patients receiving spinal anesthesia and also to assess ephedrine requirement in both the groups. Methods: A total of 200 patients were recruited after fulfilling inclusion and exclusion criteria. Patients were divided in two groups depending on presence or absence of preeclampsia. Subarachnoid block was given at L3–L4 level at the time of surgery. Hemodynamic parameters, APGAR score; neonatal birth weight was noted as per protocol. Ephedrine was given to maintain blood pressure more than 90 mmHg. Results: Demographic variables were comparable in both groups. The decrease in diastolic blood pressure, mean arterial pressure was significantly lower in non preeclamptic group with p value of 0.005 and <0.001 respectively. The APGAR score was 8.88�0.71 in healthy and 8.89�0.40 in preeclamptic group. Conclusion: Hypotension after spinal anesthesia can be easily treated in preeclampsia and healthy group. So when properly administered, spinal anaesthesia is safe in controlled preeclamptic parturients without having any adverse effect on neonatal outcome.