COMPARISON OF TWO DIFFERENT SPINAL DOSES OF 0.75% BUPIVACAINE CAUSING MATERNAL HYPOTENSION IN ELECTIVE CAESAREAN SECTION

Objective: To compare the frequency of maternal hypotension between spinal doses of 7.5 mg and 15 mg of 0.75% hyperbaric bupivacaine in elective caesarean section. Study Design: Quasi Experimental Study. Place and Duration of Study: The study was conducted in Department of Anesthesiology, Comb...

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Autores principales:	Saifullah Channa, Manzoor Ahmed Faridi, Saeed Sameeuddin, Tarique Ahmed Maka
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	elective caesarean section maternal hypotension spinal anesthesia Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d3e95a7b7fda4c41b44e2d0214b657a5
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spelling	oai:doaj.org-article:d3e95a7b7fda4c41b44e2d0214b657a52021-11-11T04:17:26ZCOMPARISON OF TWO DIFFERENT SPINAL DOSES OF 0.75% BUPIVACAINE CAUSING MATERNAL HYPOTENSION IN ELECTIVE CAESAREAN SECTION0030-96482411-8842https://doaj.org/article/d3e95a7b7fda4c41b44e2d0214b657a52019-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3425/2400https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the frequency of maternal hypotension between spinal doses of 7.5 mg and 15 mg of 0.75% hyperbaric bupivacaine in elective caesarean section. Study Design: Quasi Experimental Study. Place and Duration of Study: The study was conducted in Department of Anesthesiology, Combined Military Hospital Kharian, from 11th May 2016 to 10thNov 2016. Methodology: A total of 130 cases were selected for the study and equally divided in two group (A or B) after approval by ethics committee of hospital via using the random numbers table. In group A, 7.5 mg of 0.75% of bupivacaine administered at L3-4 in subarachnoid space after confirmation of CSF withdrawal, while in group B, 15mg of 0.75% of bupivacaine at the same space have been introduced, hence both groups were preloaded with Hartmann’s solution @15ml/kg body weight. Results: In our study, out of 130 cases (65 in each group), mean age was calculated as 28.97 ± 2.52 years in group- A and 29.15 ± 2.52 years in group-B, frequency of maternal hypotension was recorded as 47 (72.31%) in group-A and 61 (93.85%) in group-B while 18 (27.69%) in group-A and 4 (6.15%) had no hypotension, p-value calculated with 0.001 indicating a significant difference between these groups. Conclusion: The frequency of maternal hypotension was significantly lower with spinal doses of 7.5 mg and when compared with 15 mg of 0.75% hyperbaric bupivacaine in elective caesarean section.Saifullah ChannaManzoor Ahmed FaridiSaeed SameeuddinTarique Ahmed MakaArmy Medical College Rawalpindiarticleelective caesarean sectionmaternal hypotensionspinal anesthesiaMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 5, Pp 1120-1124 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	elective caesarean section maternal hypotension spinal anesthesia Medicine R Medicine (General) R5-920
spellingShingle	elective caesarean section maternal hypotension spinal anesthesia Medicine R Medicine (General) R5-920 Saifullah Channa Manzoor Ahmed Faridi Saeed Sameeuddin Tarique Ahmed Maka COMPARISON OF TWO DIFFERENT SPINAL DOSES OF 0.75% BUPIVACAINE CAUSING MATERNAL HYPOTENSION IN ELECTIVE CAESAREAN SECTION
description	Objective: To compare the frequency of maternal hypotension between spinal doses of 7.5 mg and 15 mg of 0.75% hyperbaric bupivacaine in elective caesarean section. Study Design: Quasi Experimental Study. Place and Duration of Study: The study was conducted in Department of Anesthesiology, Combined Military Hospital Kharian, from 11th May 2016 to 10thNov 2016. Methodology: A total of 130 cases were selected for the study and equally divided in two group (A or B) after approval by ethics committee of hospital via using the random numbers table. In group A, 7.5 mg of 0.75% of bupivacaine administered at L3-4 in subarachnoid space after confirmation of CSF withdrawal, while in group B, 15mg of 0.75% of bupivacaine at the same space have been introduced, hence both groups were preloaded with Hartmann’s solution @15ml/kg body weight. Results: In our study, out of 130 cases (65 in each group), mean age was calculated as 28.97 ± 2.52 years in group- A and 29.15 ± 2.52 years in group-B, frequency of maternal hypotension was recorded as 47 (72.31%) in group-A and 61 (93.85%) in group-B while 18 (27.69%) in group-A and 4 (6.15%) had no hypotension, p-value calculated with 0.001 indicating a significant difference between these groups. Conclusion: The frequency of maternal hypotension was significantly lower with spinal doses of 7.5 mg and when compared with 15 mg of 0.75% hyperbaric bupivacaine in elective caesarean section.
format	article
author	Saifullah Channa Manzoor Ahmed Faridi Saeed Sameeuddin Tarique Ahmed Maka
author_facet	Saifullah Channa Manzoor Ahmed Faridi Saeed Sameeuddin Tarique Ahmed Maka
author_sort	Saifullah Channa
title	COMPARISON OF TWO DIFFERENT SPINAL DOSES OF 0.75% BUPIVACAINE CAUSING MATERNAL HYPOTENSION IN ELECTIVE CAESAREAN SECTION
title_short	COMPARISON OF TWO DIFFERENT SPINAL DOSES OF 0.75% BUPIVACAINE CAUSING MATERNAL HYPOTENSION IN ELECTIVE CAESAREAN SECTION
title_full	COMPARISON OF TWO DIFFERENT SPINAL DOSES OF 0.75% BUPIVACAINE CAUSING MATERNAL HYPOTENSION IN ELECTIVE CAESAREAN SECTION
title_fullStr	COMPARISON OF TWO DIFFERENT SPINAL DOSES OF 0.75% BUPIVACAINE CAUSING MATERNAL HYPOTENSION IN ELECTIVE CAESAREAN SECTION
title_full_unstemmed	COMPARISON OF TWO DIFFERENT SPINAL DOSES OF 0.75% BUPIVACAINE CAUSING MATERNAL HYPOTENSION IN ELECTIVE CAESAREAN SECTION
title_sort	comparison of two different spinal doses of 0.75% bupivacaine causing maternal hypotension in elective caesarean section
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/d3e95a7b7fda4c41b44e2d0214b657a5
work_keys_str_mv	AT saifullahchanna comparisonoftwodifferentspinaldosesof075bupivacainecausingmaternalhypotensioninelectivecaesareansection AT manzoorahmedfaridi comparisonoftwodifferentspinaldosesof075bupivacainecausingmaternalhypotensioninelectivecaesareansection AT saeedsameeuddin comparisonoftwodifferentspinaldosesof075bupivacainecausingmaternalhypotensioninelectivecaesareansection AT tariqueahmedmaka comparisonoftwodifferentspinaldosesof075bupivacainecausingmaternalhypotensioninelectivecaesareansection
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COMPARISON OF TWO DIFFERENT SPINAL DOSES OF 0.75% BUPIVACAINE CAUSING MATERNAL HYPOTENSION IN ELECTIVE CAESAREAN SECTION

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