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Research Paper | Anaesthesiology | India | Volume 12 Issue 3, March 2023 | Rating: 5 / 10
Maternal Haemodynamic Effects of Spinal Anaesthesia using Hyperbaric Bupivacaine in Sitting and Lateral Position for Caesarean Section - A Comparative Study
Mandal Diptendu | Swargiri Kannauj [3] | Borah Pollov [4]
Abstract: Background and Aims: Spinal anaesthesia is the most common and safest methods used in caesarean section. This study aims to compare maternal haemodynamic alteration, onset of motor and sensory block after induction of spinal anaesthesia using hyperbaric bupivacaine in sitting and lateral position. Methods: Fifty patients of ASA grade I/II between the reproductive age group undergoing elective LSCS were included in this study. Patients were allocated in two groups alternately. Patients of group - 1 were administered spinal anaesthesia in sitting position and group 2 in lateral position and they are placed in supine position immediately. SBP, DBP, MAP, PR, SPO2 were recorded pre - operatively, every 5 min intervals after spinal anaesthesia and post - operatively. Onset of motor and sensory blockade were also recorded. Results: In between 2 groups haemodynamic changes were statistically insignificant in different time intervals. Onset of motor block (mean?sd) in group - 2 is 4.4400?0.7118 and group - 1 is 5.6800?0.8524 respectively. So, the onset of motor block in group - 2 is significantly faster. (p<0.0001). Onset of sensory block (mean?sd) in group - 2 is2.4400?0.7681 and group - 1 is 3.6800?0.8021 respectively. So, the onset of sensory block in group - 2 is significantly faster. (p<0.0001). Conclusion: Overall haemodynamic alteration in between 2 groups were statistically insignificant but the onset of motor and sensory blockade was significantly earlier in group - 2 (lateral position) than group - 1 (sitting) patients.
Keywords: Spinal anaesthesia, haemodynamics, motor block
Edition: Volume 12 Issue 3, March 2023,
Pages: 67 - 72