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Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial
BACKGROUND: Maternal hypotension is a common complication after spinal anesthesia for cesarean section (CS). In this study we investigated the role of leg elevation (LE) as a method for prevention of post-spinal hypotension (PSH) for cesarean section. METHODS: One hundred and fifty full term parturi...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404685/ https://www.ncbi.nlm.nih.gov/pubmed/28438121 http://dx.doi.org/10.1186/s12871-017-0349-8 |
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author | Hasanin, Ahmed Aiyad, Ahmed Elsakka, Ahmed Kamel, Atef Fouad, Reham Osman, Mohamed Mokhtar, Ali Refaat, Sherin Hassabelnaby, Yasmin |
author_facet | Hasanin, Ahmed Aiyad, Ahmed Elsakka, Ahmed Kamel, Atef Fouad, Reham Osman, Mohamed Mokhtar, Ali Refaat, Sherin Hassabelnaby, Yasmin |
author_sort | Hasanin, Ahmed |
collection | PubMed |
description | BACKGROUND: Maternal hypotension is a common complication after spinal anesthesia for cesarean section (CS). In this study we investigated the role of leg elevation (LE) as a method for prevention of post-spinal hypotension (PSH) for cesarean section. METHODS: One hundred and fifty full term parturients scheduled for CS were included in the study. Patients were randomized into two groups: Group LE (leg elevation group, n = 75) and group C (Control group, n = 75). Spinal block was performed in sitting position after administration of 10 mL/Kg Ringer’s lactate as fluid preload. After successful intrathecal injection of local anesthetic, Patients were positioned in the supine position. Leg elevation was performed for LE group directly after spinal anesthesia and maintained till skin incision. Intraoperative hemodynamic parameters (Arterial blood pressure and heart rate), intra-operative ephedrine consumption, incidence of PSH, and incidence of nausea and vomiting were reported. RESULTS: LE group showed lower incidence of PSH (34.7% Vs 58.7%, P = 0.005) compared to the control group. Arterial blood pressure was higher in the LE group compared to the control group in the first two readings after spinal block. Other readings showed comparable arterial blood pressure and heart rate values between both study groups; however, LE showed less ephedrine consumption (4.9 ± 7.8 mg Vs 10 ± 11 mg, P = 0.001). CONCLUSION: LE performed immediately after spinal block reduced the incidence of PSH in parturients undergoing CS. TRIAL REGISTRATION: The study was registered at Pan African Clinical Trials Registry system on 5/10/2015 with trial number PACTR201510001295348. |
format | Online Article Text |
id | pubmed-5404685 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-54046852017-04-27 Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial Hasanin, Ahmed Aiyad, Ahmed Elsakka, Ahmed Kamel, Atef Fouad, Reham Osman, Mohamed Mokhtar, Ali Refaat, Sherin Hassabelnaby, Yasmin BMC Anesthesiol Research Article BACKGROUND: Maternal hypotension is a common complication after spinal anesthesia for cesarean section (CS). In this study we investigated the role of leg elevation (LE) as a method for prevention of post-spinal hypotension (PSH) for cesarean section. METHODS: One hundred and fifty full term parturients scheduled for CS were included in the study. Patients were randomized into two groups: Group LE (leg elevation group, n = 75) and group C (Control group, n = 75). Spinal block was performed in sitting position after administration of 10 mL/Kg Ringer’s lactate as fluid preload. After successful intrathecal injection of local anesthetic, Patients were positioned in the supine position. Leg elevation was performed for LE group directly after spinal anesthesia and maintained till skin incision. Intraoperative hemodynamic parameters (Arterial blood pressure and heart rate), intra-operative ephedrine consumption, incidence of PSH, and incidence of nausea and vomiting were reported. RESULTS: LE group showed lower incidence of PSH (34.7% Vs 58.7%, P = 0.005) compared to the control group. Arterial blood pressure was higher in the LE group compared to the control group in the first two readings after spinal block. Other readings showed comparable arterial blood pressure and heart rate values between both study groups; however, LE showed less ephedrine consumption (4.9 ± 7.8 mg Vs 10 ± 11 mg, P = 0.001). CONCLUSION: LE performed immediately after spinal block reduced the incidence of PSH in parturients undergoing CS. TRIAL REGISTRATION: The study was registered at Pan African Clinical Trials Registry system on 5/10/2015 with trial number PACTR201510001295348. BioMed Central 2017-04-24 /pmc/articles/PMC5404685/ /pubmed/28438121 http://dx.doi.org/10.1186/s12871-017-0349-8 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Hasanin, Ahmed Aiyad, Ahmed Elsakka, Ahmed Kamel, Atef Fouad, Reham Osman, Mohamed Mokhtar, Ali Refaat, Sherin Hassabelnaby, Yasmin Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial |
title | Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial |
title_full | Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial |
title_fullStr | Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial |
title_full_unstemmed | Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial |
title_short | Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial |
title_sort | leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404685/ https://www.ncbi.nlm.nih.gov/pubmed/28438121 http://dx.doi.org/10.1186/s12871-017-0349-8 |
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