Detection of hypotension during spinal anesthesia for caesarean section with continuous non-invasive arterial pressure monitoring and intermittent oscillometric blood pressure monitoring in patients treated with ephedrine or phenylephrine
نویسندگان
چکیده
Introduction/Objective. Despite frequent side effects such as hypotension, spinal anesthesia (SA) is still one of the best anesthetic methods for elective cesarean section (CS). Intermittent, oscillometric, noninvasive blood pressure monitoring (NIBP) frequently leads to missed hypotensive episodes. The objective was compare continuous non-invasive arterial (CNAP) with NIBP in terms efficiency detect hypotension. Methods. In this study, we compared CNAP and hypotension detection 76 patients divided into two groups 38 treated ephedrine (E) or phenylephrine (P), during threeminute intervals, starting from SA, by end surgery. Results. E group, significantly lower mean systolic (SBP) values (p = 0.008) detected. By CNAP, detected 31 (81.6%) group number, 20 (52.6%), 0.001), while P 34 (89.5%) only 18 (47.3%), p 0.001. higher number intervals < 0.001). Umbilical vein pH within normotensive groups, NIBP, respectively 0.001, 0.027 E, 0.009, group). Conclusion. more efficient CS which allows faster treatment thus improving fetal maternal outcome.
منابع مشابه
Monitoring of hypotension after spinal anesthesia in cesarean section with continuous non-invasive arterial pressure measurement
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ژورنال
عنوان ژورنال: Srpski Arhiv Za Celokupno Lekarstvo
سال: 2021
ISSN: ['0370-8179', '2406-0895']
DOI: https://doi.org/10.2298/sarh200317030v