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Effect of Glucose Containing Crystalloid Infusion on Maternal Hemodynamic Status After Spinal Anesthesia for Cesarean Section

BACKGROUND: Despite preventive strategies, hypotension is the most common complication of spinal anesthesia in cesarean section. OBJECTIVES: The aim of this study was to assess the effect of glucose-containing crystalloid infusion on maternal hemodynamic status after spinal anesthesia for cesarean s...

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Autores principales: Atashkhoei, Simin, Abri, Reyhaneh, Naghipour, Bahman, Hatami Marandi, Pouya, Fazeli Danesh, Mohammad Taher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150926/
https://www.ncbi.nlm.nih.gov/pubmed/30271752
http://dx.doi.org/10.5812/aapm.80184
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author Atashkhoei, Simin
Abri, Reyhaneh
Naghipour, Bahman
Hatami Marandi, Pouya
Fazeli Danesh, Mohammad Taher
author_facet Atashkhoei, Simin
Abri, Reyhaneh
Naghipour, Bahman
Hatami Marandi, Pouya
Fazeli Danesh, Mohammad Taher
author_sort Atashkhoei, Simin
collection PubMed
description BACKGROUND: Despite preventive strategies, hypotension is the most common complication of spinal anesthesia in cesarean section. OBJECTIVES: The aim of this study was to assess the effect of glucose-containing crystalloid infusion on maternal hemodynamic status after spinal anesthesia for cesarean section. METHODS: In this prospective, randomized, double-blind clinical trial, 80 parturients undergoing elective cesarean section with spinal anesthesia were studied. In group A (n = 40) ringer with 1% glucose solution (10 gr glucose in 1000 mL ringer) and in group B (n = 40) only ringer solution infused before and after spinal anesthesia. Demographic data, hemodynamic change, complications and their treatments, maternal blood sugar level and neonatal APGAR (appearance, pulse, grimace, activity and respiration) score, intraoperative fluid, duration of surgery, and anesthesia were recorded in the two groups. RESULTS: The incidence of hypotension in group A was significantly lower than group B (27.5% vs 75%) (P = 0.002). Other complications (sustained hypotension, nausea, pallor, and shivering were significantly lower in parturients of the group A (P < 0.05). Maternal blood sugar (BS), before and after surgery, was not significantly different in the two groups (P = 0.207 and P = 0.239, respectively). There was no statistically significant difference in the APGAR score of neonates at the 1st and 5th minutes of the birth between the two groups (P = 0.076). CONCLUSIONS: It seems that adding 1% glucose to crystalloid solution improves the hemodynamic status and decreases post-spinal anesthesia complications without significant changes in the maternal blood sugar level and APGAR score of neonates.
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spelling pubmed-61509262018-09-28 Effect of Glucose Containing Crystalloid Infusion on Maternal Hemodynamic Status After Spinal Anesthesia for Cesarean Section Atashkhoei, Simin Abri, Reyhaneh Naghipour, Bahman Hatami Marandi, Pouya Fazeli Danesh, Mohammad Taher Anesth Pain Med Research Article BACKGROUND: Despite preventive strategies, hypotension is the most common complication of spinal anesthesia in cesarean section. OBJECTIVES: The aim of this study was to assess the effect of glucose-containing crystalloid infusion on maternal hemodynamic status after spinal anesthesia for cesarean section. METHODS: In this prospective, randomized, double-blind clinical trial, 80 parturients undergoing elective cesarean section with spinal anesthesia were studied. In group A (n = 40) ringer with 1% glucose solution (10 gr glucose in 1000 mL ringer) and in group B (n = 40) only ringer solution infused before and after spinal anesthesia. Demographic data, hemodynamic change, complications and their treatments, maternal blood sugar level and neonatal APGAR (appearance, pulse, grimace, activity and respiration) score, intraoperative fluid, duration of surgery, and anesthesia were recorded in the two groups. RESULTS: The incidence of hypotension in group A was significantly lower than group B (27.5% vs 75%) (P = 0.002). Other complications (sustained hypotension, nausea, pallor, and shivering were significantly lower in parturients of the group A (P < 0.05). Maternal blood sugar (BS), before and after surgery, was not significantly different in the two groups (P = 0.207 and P = 0.239, respectively). There was no statistically significant difference in the APGAR score of neonates at the 1st and 5th minutes of the birth between the two groups (P = 0.076). CONCLUSIONS: It seems that adding 1% glucose to crystalloid solution improves the hemodynamic status and decreases post-spinal anesthesia complications without significant changes in the maternal blood sugar level and APGAR score of neonates. Kowsar 2018-08-25 /pmc/articles/PMC6150926/ /pubmed/30271752 http://dx.doi.org/10.5812/aapm.80184 Text en Copyright © 2018, Author(s) http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
spellingShingle Research Article
Atashkhoei, Simin
Abri, Reyhaneh
Naghipour, Bahman
Hatami Marandi, Pouya
Fazeli Danesh, Mohammad Taher
Effect of Glucose Containing Crystalloid Infusion on Maternal Hemodynamic Status After Spinal Anesthesia for Cesarean Section
title Effect of Glucose Containing Crystalloid Infusion on Maternal Hemodynamic Status After Spinal Anesthesia for Cesarean Section
title_full Effect of Glucose Containing Crystalloid Infusion on Maternal Hemodynamic Status After Spinal Anesthesia for Cesarean Section
title_fullStr Effect of Glucose Containing Crystalloid Infusion on Maternal Hemodynamic Status After Spinal Anesthesia for Cesarean Section
title_full_unstemmed Effect of Glucose Containing Crystalloid Infusion on Maternal Hemodynamic Status After Spinal Anesthesia for Cesarean Section
title_short Effect of Glucose Containing Crystalloid Infusion on Maternal Hemodynamic Status After Spinal Anesthesia for Cesarean Section
title_sort effect of glucose containing crystalloid infusion on maternal hemodynamic status after spinal anesthesia for cesarean section
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150926/
https://www.ncbi.nlm.nih.gov/pubmed/30271752
http://dx.doi.org/10.5812/aapm.80184
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