Extra-strong graduated compression stocking reduces usage of vasopressor agents during spinal anesthesia for cesarean section

Abstract

Because a standard type of graduated compression stocking is not effective for the prevention of spinal anesthesia hypothension during cesarean section, we have used an extra-strong type of graduated compression stocking. This study examined whether the extra-strong stocking reduces usage of vasopressor agents. Forty-eight and 47 full term parturients were fitted with the standard stocking and the extra-strong stocking, respectively. Spinal anesthesia was performed by injecting 2.0 ml 0.3% dibucaine hyperbaric solution. When systolic blood pressure decreased to 90-100 mmHg or to less than 70% of the pre-anesthesia value, ephedrine was injected. There was no significant difference in systolic blood pressure or heart rate during spinal anesthesia between the groups. The mean dose of ephedrine injected during anesthesia was 12.2 and 4.3 mg, and the incidence of ephedrine injected was 85 and 49%, in the standard and extra-strong stocking groups, respectively. The extra-strong stocking group showed significantly lower values. Fitting the extra-strong stocking on both legs for cesarean sections undergoing spinal anesthesia reduced usage of vasopressor agents, suggesting a promising use of this stocking for non-invasive prophylaxis.

Comparison of the effects of colloid preload, vasopressor administration and leg compression on hemodynamic changes during spinal anesthesia for lumbar disc surgery in knee–chest position

“…[ 10 ] Furthermore, Iwama and his collogues showed that the use of extra strong stocks reduces usage of vasopressor agents during spinal anesthesia for cesarean section. [ 11 ] Pamela et al . studied the effect of increase of central blood volume by mechanical methods and reported that continuous feet bandage decreases the incidence of hypotension after spinal anesthesia in lumbar disc surgery compared to the control group.…”

“…[ 10 ] Furthermore, Iwama and his coworkers showed that the use of extra strong stocks in feet of cesarean patients under spinal anesthesia reduces the consumption of vasopressors and is recommended as a non-invasive preventive method of hypotension after spinal anesthesia. [ 11 ] Pamela et al . evaluated the effect of central blood volume increase by mechanical methods and reported that feet bandage continuously and significantly decreases the incidence of hypotension after spinal anesthesia compared to the control group.…”