Haemodynamic Changes in Continuous Spinal Anesthesia Versus Epidural Anesthesia in Preeclamptic Patients Undergoing Cesarean Section
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- Category: Vol. 84, September 2016
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Haemodynamic Changes in Continuous Spinal Anesthesia Versus Epidural Anesthesia in Preeclamptic Patients Undergoing Cesarean Section, AHMED EL-BADAWY M. KHALIL, NESRINE A. EL-REFAI, EMAD M. ABD EL-HAFEZ and WESAM M. ABD ALLAH
Abstract
Objective: Tо evaluate the hemodynamic changes of continuous spinal anesthesia compared to epidural anesthesia in mild to moderate preeclamptic patients undergoing cesarean section.
Methods: 40 mild to moderate preeclamptic patients undergoing cesarean section under regional anesthesia. Patients are randomly allocated into 2 groups, CSA group (n=20) received continuous spinal anesthesia using spinocath and were given 5mg of hyperbaric bupivacaine 0.5% + 25иg fentanуl as initial dose, and increments of 25mg of bupivacaine 0.5% at 5min intervals until the desired sensory level of T4. Patients of СЕЛ group (n=20) received continuous epidural anesthesia and were given 60mg of lidocaine 2% as a test dose then the block is activated by giving 75mg of isobaric bupivacainc 0.5% + 100ug fentanyl and increments of 25mg of bupivacaine 0.5% at 15mіn interval until the desired level of T4. All patients were preloaded with 10m1/kg Ringer's solution, and the block was performed at LЗ-L4 interspace with the patient in the sitting position through the midline approach.
Results: The mean arterial pressure in mmHg, the heart rate in beats/min and the cardiac output in L/min were recorded during the operation with no significant difference between the 2 groups but the changes were delayed in the CEA group.
Conclusion: Continuous spinal anesthesia using catheter over needle technique in anesthetic management of mild to moderate preeclamptic patients undergoing cesarean section provides the same hemodynamic changes.