FREQUENCY OF POST SPINAL HYPOTENSION IN ELECTIVE CESAREAN SECTION AFTER SPINAL ANESTHESIA
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Keywords
Cesarean section, spinal anesthesia, spinal induce hypotension
Abstract
Objective: the aim of the study was to determine the Frequency of Post Spinal Hypotension in Elective Cesarean Section after Spinal Anesthesia.
Material and method: The current observational study was carried out at Anaesthesia Department Khyber Teaching Hospital Peshawar January 2023 to September 2023 after taking approval from the ethical committee of the institute. A total of 274 patients who underwent spinal anesthesia for caesarian section were enrolled founded on the incidence 23 percent confidence interval ninety five percent and margin of error five percent this has been calculated by applying WHO sample size calculator n = p(1-p)(Z/e)²
Results: We enrolled a total of 274 individuals in the current study who were treated from spinal anesthesia for caesarian section. Out of which 74 (27%) had hypotension after surgery. When administering spinal anaesthesia, various medication dosages and age weights were employed. Hypotension affected 17 participants (22.8%) in the 18–29 age group and 57 (77%) in the 30–40 age group. According to the weight of the individual 10 individuals (13.5%) among the 274 individuals studied weighed between 49 and 65 kg, 21 patients (28.3%), and 43 patients (58.1%) who weighed between 81 and 90 kg had hypotension. Based on the medication and dosage used out of the total samples bupivacaine with 2% lignocaine in 23 patients (31%) ,bupivacaine with fentanyl had 35 participants (47.2%) and bupivacaine with tramadol 16 participants (21.6%) had hypotension. Out of the 274 participants in our research, 4 had already existing hypertension. Approximately 1.5%, as a result of dehydration and NBM status, whereas 74 patients (27%) had hypotension following spinal anaesthesia. Using dose of bupivacaine 55 patients (74%) had hypotension at a dosage of 15 mg of bupivacaine, whereas 19 participants (26%) experienced it with a dose of 10 mg. individuals with a history of using anti-hypertensive medications Ten (13.5%) of the participants had never used anti-hypertensive medication before, while 64 patients (86.4%).
Conclusion: After examining the data, we concluded that spinal produce hypotension following spinal anaesthesia is frequently seen during elective caesarean deliveries.
References
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Muhammad Javed khan
Assistant professor Anaesthesia Department Khyber Teaching Hospital Peshawar
Saira khan
Fcps anesthesia trainee Khyber teaching hospital Peshawar
Rumman Khan
Assistant Professor Hepatobiliary surgery Surgical-A Unit Hayatabad Medical complex Peshawar