Two syringes technique for spinal anesthesia to prevent hypotension in patients undergoing elective cesarean section.
- Resource Type
- Article
- Authors
- Shrestha, Saurav; Pokhrel, Jeju Nath; Gurung, Tara; Devkota, Sagar; Sharma, Apurb
- Source
- Nepal Journal of Obstetrics & Gynaecology. Jul-Dec2022, Vol. 17 Issue 2, p20-25. 6p.
- Subject
- *CESAREAN section
*SPINAL anesthesia
*SYSTOLIC blood pressure
*HYPOTENSION
*SPINAL infusions
*SYRINGES
- Language
- ISSN
- 1999-8546
Aims: To compare the incidence of hypotension after intrathecal administration of hyperbaric bupivacaine and fentanyl in two different syringes against standard single injection of mixed fentanyl with hyperbaric bupivacaine. Methods: This was a prospective comparative study conducted in 174 parturients undergoing elective caesarean section at Paropakar Maternity & Women's Hospital. Hemodynamic effects and characteristics of block were monitored and recorded and compared between the two groups, group S (single syringe) and group D (double syringe). Results: The incidence of hypotension was almost similar in the two groups but the drop in systolic blood pressure and mean arterial pressure at 5 minutes and 7.5 minutes after subarachnoid block was significant in group S as compared to group D (p<0.005 and p<0.005 respectively). Conclusion: Hyperbaric bupivacaine with fentanyl, which when injected separately without mixing, is associated with lesser incidence of hypotension following subarachnoid block. [ABSTRACT FROM AUTHOR]