A Comparative Study of Effects of Sitting and Lateral Positions on Quality of Block during Induction of Spinal Anaesthesia in Patients Undergoing Cesarean Section

Chevuri, Sarat Babu; Rao, JV Subba; Chandergutti, Varun; Hussain, Md Mohib; Khan, Bashir Ahmad

doi:10.18049/jcmad/319a21

Cited by 6 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Moreover, in a study by Obasuyi et al the occurrence of hypotension was less prevalent in patients who received spinal anesthesia in the lateral position, compared to the sitting position ( 18 ). Similar studies with identical results have been performed by Yun et al ( 19 ) and Chevuri et al ( 10 ). Hypotension was more frequent in the sitting position in comparison with the lateral position in the study by Yun et al and the only advantage of the sitting position, compared to the lateral posture, was easier anesthetic administration ( 19 ).…”

Section: Discussionsupporting

confidence: 90%

“…Hypotension was more frequent in the sitting position in comparison with the lateral position in the study by Yun et al and the only advantage of the sitting position, compared to the lateral posture, was easier anesthetic administration ( 19 ). Also, similar hemodynamic stability, quality of analgesia, and muscle relaxation were found in the investigation by Chevuri et al ( 10 ).…”

Section: Discussionsupporting

confidence: 82%

“…However, turning pregnant women to the lateral position after anesthesia may be difficult, especially among those with a high body mass index who are hard to lift; as a result, changing the position may present a risk to the staff and mother ( 9 ). In addition, it is technically easier to insert the needle with the patient in the sitting position ( 10 ); therefore, the sitting position may be preferred by many anesthetists ( 9 , 10 ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of 1- and 2-Minute Sitting Positions Versus Immediately Lying Down on Hemodynamic Variables After Spinal Anesthesia with Hyperbaric Bupivacaine in Elective Cesarean Section

2017

View full text Add to dashboard Cite

BackgroundHypotension is one of the most common complications of spinal anesthesia in parturients undergoing cesarean section. In this regard, the patient’s position may affect the incidence of hypotension.ObjectivesIn this clinical trial, we evaluated the effects of 1- and 2-minute sitting positions versus immediately lying down after spinal anesthesia on hypotension and vasopressor requirements.MethodsA total of 72 parturients, scheduled for cesarean section under spinal anesthesia, were randomly divided into 3 groups (24 subjects per group). Groups S1 and S2 remained in a sitting position for 1 and 2 minutes after the induction of spinal anesthesia, respectively, while group T was immediately placed in a lying position. Systolic, diastolic, and mean arterial blood pressure, as well as heart rate, was recorded at 1, 2, 3, and 5 minutes after anesthesia induction, every 5 minutes during the first 30 minutes of surgery, and then every 10 minutes until the end of surgery. P-value less than 0.05 was considered statistically significant.ResultsThe overall frequency of hypotension was 50 (69%) cases during surgery; the reported frequency was higher in group T in comparison with group S2 (P = 0.003). The frequency of hypotension before delivery (the first 5 minutes after spinal anesthesia) was 40 (55%) cases, with a higher frequency reported in group T (20, 83%), compared to groups S1 (12, 50%) and S2 (8, 33%) (P = 0.03 and P = 0.001, respectively). The ephedrine requirement in group T (11.73 ± 7.16 mg) was higher than the other two groups (8.69 ± 7.57 and 7.82±7.95 mg in groups S1 and S2, respectively); nevertheless, the difference was not statistically significant (P = 0.19). Moreover, the difference in time to achieve T6 sensory level was only significant between group T (3.25 ± 1.1 minutes) and group S2 (4.73 ± 1.73 minutes) (P = 0.03).ConclusionsThe present study showed that 1- or 2-minute sitting position after spinal anesthesia with 2.5 cc of hyperbaric bupivacaine in elective cesarean section results in more hemodynamic stability, compared with immediately lying down.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of 1- and 2-Minute Sitting Positions Versus Immediately Lying Down on Hemodynamic Variables After Spinal Anesthesia with Hyperbaric Bupivacaine in Elective Cesarean Section

2017

View full text Add to dashboard Cite

show abstract

“…Hypotension following spinal anesthesia is very common, and a recent meta-analysis showed that the following Treatments are not completely successful in eliminating this adverse event: position changes, colloids, ephedrine, Phenylephrine, or lower legs compression (6) . In a number of studies, the effect of patient positioning during or after spinal anesthesia has been studied, although Conflicting results have been reported (7)(8)(9)(10) . Investigators have shown better hemodynamics and reduced ephedrine requirements when the spinal anesthetic was performed in the sitting rather than in the lateral position.…”

Section: Discussionmentioning

confidence: 99%

Comparison of 1-and 2- Minute Sitting Position Versus Immediately Lying Down of Hemodynamic Variables after Spinal Anesthesia with Hyperbaric Bupivacaine in Elective Cesarean Section

Dawood¹,

Latef²

2021

JUSST

View full text Add to dashboard Cite

the aim of current study: was Comparison of 1-and 2- minute sitting position versus immediately lying down on hemodynamic variables after spinal anesthesia with hyperbaric bupivacaine in elective cesarean section. Patients and methods: This study was performed after the approval of the Iraqi Council for Medical Specialization in anesthesia and intensive care, and after obtaining the consents from 90 pregnant women (at term) who were candidate for cesarean section with spinal anesthesia were recruited in this study. They were collected from “AL-Imamain AL-Kademain Medical City Teaching Hospital” (July 2017 – January 2018) , All patients were premedicated with 10mg IV metoclopramide and 50mg IV ranitidine , Base line blood pressure and the pulse rate were recorded initially before intervention , the Lumbar puncture was performed in the sitting position under full aseptic teqnique , For assessment of blood pressure and pulse rate, ten readings were taken at (3, 5, 10, 15, 20, 25, 30, 35,40and 60 min) using an automated noninvasive blood pressure. Pulse rate monitored by electrocardiogram and oximetry (SPO2). Results: Current study showed higher means of pulse rate than the other two groups especially at early times after anesthesia induction. On the other hand, both group A1 and A2 showed higher mean of systolic, diastolic and mean blood pressure than group B especially 3, 5, 10 and 15 minutes after anesthesia induction, so the variation of pulse rate over the time in the three groups. Group B had higher pulse rate Journal of University of Shanghai for Science and Technology ISSN: 1007-6735 Volume 23, Issue 9, September – 2021 Page-7882 than the other two groups at 3,5,10, 25 and 40 minutes with significant difference (P8 in all groups. Conclusions: This study revealed that the patient’s position is an important factor, which affects the frequency of Hypotension and the onset of sensory block , as well as Administration of spinal anesthesia for cesarean section. Based on the findings, keeping the parturient seated for 1 Or 2 minutes after spinal anesthesia, compared to immediately lying down, could decrease the frequency of hypotension.

show abstract

“…9 Pada penelitian pengaruh posisi duduk dibanding dengan posisi lateral pada 40 pasien yang menjalani seksio sesarea dengan anestesi spinal yang menggunakan 11 mg bupivakain hiperbarik 0,5% dengan waktu penyuntikan 20 detik dan kemudian kedua kelompok langsung dibaringkan setelah pemberian obat, didapatkan penghambatan blokade sensorik pada menit ke-1 dan ke-5 pada posisi duduk (T6) sebanyak 5 pasien dibanding dengan 8 pasien, menit ke-5 (T6) sebanyak 8 pasien dibanding dengan 14 pasien, dan pada menit ke-45 (T6) sebanyak 15 pasien dibanding p-ISSN 2337-7909; e-ISSN 2338-8463; dengan 18 pasien. 10 Penelitian ini bertujuan melihat pengaruh duduk 5 menit dibanding dengan langsung dibaringkan setelah pemberian obat anestesia spinal bupivakain 0,5% hiperbarik 10 mg terhadap tekanan arteri rata-rata (MAP) serta ketinggian blokade sensorik pada pasien yang dilakukan anestesia spinal.…”

Section: Pendahuluanunclassified

Pengaruh Duduk 5 Menit Dibanding dengan Langsung Dibaringkan pada Pasien yang Dilakukan Anestesi Spinal dengan Bupivakain Hiperbarik 0,5% 10 mg terhadap Perubahan Tekanan Arteri Rata-rata dan Blokade Sensorik

Fauzan¹,

Tavianto²,

Sitanggang³

2016

jap

View full text Add to dashboard Cite

AbstrakAnestesi spinal sering kali mengakibatkan hipotensi karena blokade simpatis yang tinggi. Penelitian ini bertujuan melihat pengaruh duduk 5 menit dibanding dengan langsung dibaringkan setelah pemberian anestesi spinal dengan bupivakain 0,5% hiperbarik 10 mg terhadap tekanan arteri rata-rata dan ketinggian blokade sensorik. Penelitian dilakukan dengan metode acak terkontrol tersamar tunggal pada 36 orang pasien dengan status fisik American Society of Anesthesiologist (ASA) I-II yang menjalani operasi perut bagian bawah dan ekstermitas bawah di Rumah Sakit Umum Dr. Hasan Sadikin Bandung pada bulan Maret-Mei 2015. Analisis statistik tekanan arteri rata-rata menggunakan Uji Mann-Whitney dan ketinggian blokade sensorik dengan Uji Kolmogorov Smirnov. Penurunan tekanan arteri rata-rata kelompok 1 (duduk selama 5 menit) lebih sedikit dibanding dengan kelompok 2 (langsung dibaringkan) dengan perbedaan yang bermakna (p<0,05). Ketinggian blokade sensorik rata-rata kelompok 1 terbanyak pada T10 (14 dari 18) dan kelompok 2 pada T6 (8 dari 18). Simpulan, posisi duduk selama 5 menit setelah anestesi spinal dengan bupivakain 0,5% hiperbarik 10 mg menyebabkan penurunan tekanan arteri rata-rata lebih kecil dan ketinggian blokade sensorik lebih rendah dibanding dengan posisi langsung dibaringkan.Kata kunci: Anestesi spinal, bupivakain 0,5% hiperbarik, blokade sensorik, posisi badan, tekanan arteri rata-rata AbstractSpinal anesthesia frequently results in hypotension due to high sympathetic blockade. The aim of this study was to examine effect of sitting for 5 minutes compared to immediately lying down after 10 mg of 0.5% hiperbaric bupivacaine administration with regards to the mean arterial pressure and level sensory blockade in patients who underwentd spinal anesthesia. This was a single blind randomized controlled trial in 36 patients with American Society of Anesthesiologists (ASA) I-II undergoing lower abdominal and lower extremities surgery under spinal anesthesia in Dr. Hasan Sadikin General Hospital Bandung during the period of March to May 2015. Data were statistically analyzed using Mann Whitney test for mean arterial pressure and Kolmogorov Smirnov test for level sensory blockade. The results showed a decrease of mean arterial pressure in group 1 (sitting 5 minutes) which was lower than group 2 (immediately lying down) with significant difference (p<0.05). Level of sensory blockade in group 1 at T 10 (14 from 18) was higher than in group 2 at T6 (8 from 18, p=0.001). It is concluded in this study that sitting for 5 minutes after spinal anesthesia using 10 mg 0.5%. bupivacaine hiperbaric decreases the intraoperative sensory of blockade height and mean arterial pressure.

show abstract

A Comparative Study of Effects of Sitting and Lateral Positions on Quality of Block during Induction of Spinal Anaesthesia in Patients Undergoing Cesarean Section

Cited by 6 publications

References 3 publications

Comparison of 1- and 2-Minute Sitting Positions Versus Immediately Lying Down on Hemodynamic Variables After Spinal Anesthesia with Hyperbaric Bupivacaine in Elective Cesarean Section

Comparison of 1- and 2-Minute Sitting Positions Versus Immediately Lying Down on Hemodynamic Variables After Spinal Anesthesia with Hyperbaric Bupivacaine in Elective Cesarean Section

Comparison of 1-and 2- Minute Sitting Position Versus Immediately Lying Down of Hemodynamic Variables after Spinal Anesthesia with Hyperbaric Bupivacaine in Elective Cesarean Section

Pengaruh Duduk 5 Menit Dibanding dengan Langsung Dibaringkan pada Pasien yang Dilakukan Anestesi Spinal dengan Bupivakain Hiperbarik 0,5% 10 mg terhadap Perubahan Tekanan Arteri Rata-rata dan Blokade Sensorik

Contact Info

Product

Resources

About