Does the maternal position at the time of administration of subarachnoid block with plain Ropivacaine affect the hemodynamics? A comparative evaluation of the sitting versus lateral position
Journal Title: International Journal of Medical and Health Sciences - Year 2017, Vol 6, Issue 4
Abstract
Background: Subarachnoid block is the preferred anesthesia in the parturient undergoing elective caesarean section. The ideal position for the induction of subarachnoid block in a parturient is not standardized and its effect on the hemodynamics is conflicting. Methods: A prospective randomized single blinded study was carried out on 40 parturients. The parturient were allocated to two groups of 20 each, who received 12 mg of 0.75% plain Ropivacaine intrathecally in either the modified sitting or the lateral position. The intra-operative hemodynamic parameters, characteristics of block, amount of Ephedrine used, neonatal condition (Apgar score), nausea, vomiting and parturient comfort were evaluated. Results: As compared to the lateral group, a greater fall in mean arterial pressure (P=0.001) and systolic blood pressure (P=0.002) was observed in the sitting group. The mean amount of Ephedrine used was also greater in the sitting group (P=0.011).The time to achieve a sensory level of T6 was earlier (P value<0.001) and the highest sensory level achieved was greater in the sitting group (P value=0.002). The incidence of nausea (P=0.002) and vomiting (P=0.008) was more in the sitting group. However, the parturient were more comfortable receiving the block in sitting position (P value<0.001) and the overall neonatal outcome was good in both the groups. Conclusions: We conclude that even though the sitting position was comfortable while administering a subarachnoid block, maintaining the lateral position at the time of subarachnoid administration provided significantly greater hemodynamic stability.
Authors and Affiliations
Himanshu Sikri, Bharti Taneja, Kirti Nath Saxena
Keywords
Related Articles
- EP ID EP40042
- DOI -
- Views 262
- Downloads 0
High Level Gentamycin Resistance among Enterococcus Species Isolated From Clinical Samples in a Tertiary Care Hospital
Background: Enterococcus, which comprises of gram positive organism acts as opportunistic pathogens which has their natural habitat in genital tract, gut and oral cavity. Resistance to wide variety of antibiotics has mad...
Lupus Anticoagulant in PIH and Pregnancy Outcome
Background: Hypertensive disorders continue to occur globally, complicating 5-20% of pregnancies. Antiphospholipid antibodies are one of the risk factors in the development of pregnancy induced hypertension. Aim of this...
Unusual Unilateral Muscular Variations Of The Flexor Compartment Of Forearm And Hand- A Case Report
The muscular variations of upper limb are not uncommon. Their importance becomes apparent with regard to surgical approaches for various clinical conditions involving the upper limb. During routine dissection classes t...
Isolated Duodenal polyp presenting as upper gastrointestinal bleed
Duodenal polyps are rare lesions in patients undergoing upper GI endoscopy (UGIE), and the prevalence varies widely with range of 0.3-4.6% of cases. Duodenal adenomas are most commonly associated with familial adenomato...
Effect of Structured Mentorship on New Entrant Medical Students
Aim : To deliver structured mentorship to first year medical students and to scientifically document its effect on their scholastic performance. Materials & Methods : In a prospective randomised control trial, first yea...