Evaluation of Hemodynamic changes in Elective Cesarean section under Spinal Anesthesia

Background: Spinal block provides excellent anesthesia for cesarean section, but it is frequently accompanied byhypotension, which if untreated can pose serious risks to mother and baby. Over the years, many interventions have beentried prevent hypotension, no single technique has proven be effective reliable. This study was carried outwith aim find wrapping legs with elastic crepe bandage in addition traditional methods inpreventing post spinal hypotension.Materials Methods: A total of 60 full-term parturients an uncomplicated pregnancy belonging AmericanSociety Anesthesiologists I or II were allocated randomly (30 each group) their wrapped elasticcrepe done. All patients received intravenous (IV) crystalloid (20 ml/kg) 15 min priorto injection placed left lateral position. Electrocardiography oxygen saturation monitoredcontinuously heart rate, blood pressure measured every 2 until delivery baby 5 thereafteruntil end section. Significant hypotension treated IV phenylephrine 50 μg bolus doses.Results: The frequency significantly less (P = 0.009) Group B (legs 3 (10%) patientswhen compared (nonleg wrapped) 13 (43.33%). In 10 (33.33%) (10%)patients required rescue dose statistically significant 0.0003). Difference “meanchange arterial pressure” between highly < 0.001) recorded at 4, 6, 8 min.Conclusion: Incidence reduced by a subsequentreduction use potent vasopressor. Since leg cheap, easy, readily available,noninvasive, nonpharmacological method, recommended preventing adeveloping country like ours.